The Relationship Between Organizational Culture and Practice Systems in Primary Care

被引：20

作者：

Dugan, Donna Pillittere ^{[1
,2
]}

Mick, Stephen S. ^{[1
,2
]}

Scholle, Sarah Hudson ^{[1
,2
]}

Steidle, Ernie F. ^{[1
,2
]}

Goldberg, Debora Goetz ^{[1
,2
]}

机构：

[1] Virginia Commonwealth Univ, Sch Allied Hlth Profess, Richmond, VA 23284 USA

[2] Natl Comm Qual Assurance, Washington, DC USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2011年 / 34卷 / 01期

关键词：

organizational culture; patientcentered; medical home; systems of care;

D O I：

10.1097/JAC.0b013e3181ff6ef2

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The patient-centered medical home is an approach to comprehensive primary care relying on well-developed systems. Research has shown that for practices to meet patient-centered medical home requirements, care models may need to be redesigned. However, there is a dearth of information about what factors are important to achieve this goal. Self-report surveys from 293 staff across 42 practices in Minnesota showed variation in use of systems and dimensions of organizational culture. Organizational cultures that emphasize collegiality and quality but not autonomy were significantly related to the use of clinician reminders, clinical quality evaluation and improvement, and clinical information systems.

引用

页码：47 / 56

页数：10

共 34 条

[1]

Agency for Healthcare Research and Quality, 2010, PAT CTR MED HOM RES

[2] Improving primary care for patients with chronic illness [J].