Perceptions of Health System Orientation

Autor: Maura McGuire, Brooke A. Cunningham, Kathryn A. Carson, Airong Yu, Max J. Romano, Lisa A. Cooper, Jill A. Marsteller, Gary Noronha
Rok vydání: 2014
Předmět:
Zdroj: Medical Care Research and Review. 71:559-579
ISSN: 1552-6801
1077-5587
DOI: 10.1177/1077558714557891
Popis: As part of a pragmatic trial to reduce hypertension disparities, we conducted a baseline organizational assessment to identify aspects of organizational functioning that could affect the success of our interventions. Through qualitative interviewing and the administration of two surveys, we gathered data about health care personnel’s perceptions of their organization’s orientations toward quality, patient centeredness, and cultural competency. We found that personnel perceived strong orientations toward quality and patient centeredness. The prevalence of these attitudes was significantly higher for these areas than for cultural competency and varied by occupational role and race. Larger percentages of survey respondents perceived barriers to addressing disparities than barriers to improving safety and quality. Health care managers and policy makers should consider how we have built strong quality orientations and apply those lessons to cultural competency.
Databáze: OpenAIRE