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J Gen Intern Med. 2004 May;19(5 Pt 2):514-8.

Cultural consensus analysis as a tool for clinic improvements.

Author information

1
Northwest Regional Faculty Development Center, VA Medical Center, Boise, ID 83702, USA. scott.smith2@med.va.gov

Abstract

Some problems in clinic function recur because of unexpected value differences between patients, faculty, and residents. Cultural consensus analysis (CCA) is a method used by anthropologists to identify groups with shared values. After conducting an ethnographic study and using focus groups, we developed and validated a CCA tool for use in clinics. Using this instrument, we identified distinct groups with 6 important value differences between those groups. An analysis of these value differences suggested specific and pragmatic interventions to improve clinic functioning. The instrument has also performed well in preliminary tests at another clinic.

PMID:
15109315
PMCID:
PMC1492322
DOI:
10.1111/j.1525-1497.2004.30061.x
[Indexed for MEDLINE]
Free PMC Article
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