Organization Complexity and Primary Care Providers’ Perceptions of Quality Improvement Culture Within the Veterans Health Administration

Autor: Anne Canamucio, Michele L. Lempa, Danijela Korom-Djakovic, Judith A. Long, Elizabeth M. Yano
Rok vydání: 2014
Předmět:
Medical home
medicine.medical_specialty
Outpatient Clinics
Hospital
Quality management
Complexity theory and organizations
media_common.quotation_subject
Personnel Staffing and Scheduling
Primary care
03 medical and health sciences
0302 clinical medicine
Nursing
Patient-Centered Care
Perception
Medicine
030212 general & internal medicine
Cooperative Behavior
skin and connective tissue diseases
Veterans Affairs
health care economics and organizations
media_common
Primary Health Care
business.industry
Communication
030503 health policy & services
Health Policy
Community Health Centers
Veterans health
Organizational Culture
Quality Improvement
United States
humanities
Leadership
United States Department of Veterans Affairs
Family medicine
sense organs
0305 other medical science
business
Administration (government)
Zdroj: American Journal of Medical Quality. 31:139-146
ISSN: 1555-824X
1062-8606
Popis: This study examined how aspects of quality improvement (QI) culture changed during the introduction of the Veterans Health Administration (VHA) patient-centered medical home initiative and how they were influenced by existing organizational factors, including VHA facility complexity and practice location. A voluntary survey, measuring primary care providers' (PCPs') perspectives on QI culture at their primary care clinics, was administered in 2010 and 2012. Participants were 320 PCPs from hospital- and community-based primary care practices in Pennsylvania, West Virginia, Delaware, New Jersey, New York, and Ohio. PCPs in community-based outpatient clinics reported an improvement in established processes for QI, and communication and cooperation from 2010 to 2012. However, their peers in hospital-based clinics did not report any significant improvements in QI culture. In both years, compared with high-complexity facilities, medium- and low-complexity facilities had better scores on the scales assessing established processes for QI, and communication and cooperation.
Databáze: OpenAIRE
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