Social Features of Integration in Health Systems and Their Relationship to Provider Experience, Care Quality and Clinical Integration
| Autor: | Michaela Kerrissey, Sara J. Singer, Veronique Martin, Maike Tietschert, Anna D. Sinaiko, Zhanna Novikov, Hassina Bahadurzada |
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| Přispěvatelé: | Organization Sciences, Network Institute, Organization & Processes of Organizing in Society (OPOS) |
| Rok vydání: | 2021 |
| Předmět: |
burnout
business.industry Health Policy media_common.quotation_subject Applied psychology integration Interpersonal communication Burnout care quality Job Satisfaction Physicians Surveys and Questionnaires Normative System integration Humans Quality (business) Psychology business health systems Burnout Professional Healthcare system Health care quality media_common Quality of Health Care |
| Zdroj: | Medical Care Research and Review, 79(3), 359-370. SAGE Publications Inc. Kerrissey, M, Tietschert, M, Novikov, Z, Bahadurzada, H, Sinaiko, A D, Martin, V & Singer, S J 2022, ' Social features of integration in health systems and their relationship to provider experience, care quality and clinical integration ', Medical Care Research and Review, vol. 79, no. 3, pp. 359-370 . https://doi.org/10.1177/10775587211024796 |
| ISSN: | 1552-6801 1077-5587 |
| DOI: | 10.1177/10775587211024796 |
| Popis: | More is known about the structural features of health system integration than the social features—elements of normative integration (alignment of norms) and interpersonal integration (collaboration among professionals and with patients). We surveyed practice managers and 1,360 staff and physicians at 59 practice sites within 17 health systems (828 responses; 61%). Building on prior theory, we developed and established the psychometric properties of survey measures describing normative and interpersonal integration. Normative and interpersonal integration were both consistently related to better provider experience, perceived care quality, and clinical integration (e.g., a 1-point increase in a practice’s normative integration was associated with 0.53-point higher job satisfaction and 0.77-point higher perceived care quality in the practice, measured on 1 to 5 scales, p < .01). Variation in social features of integration may help explain why some health systems better integrate care, pointing to normative and interpersonal integration as potential resources for improvement. |
| Databáze: | OpenAIRE |
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