Format

Send to

Choose Destination
See comment in PubMed Commons below
Health Serv Res. 2007 Jun;42(3 Pt 1):1257-73.

Measuring organizational attributes of primary care practices: development of a new instrument.

Author information

  • 1Department of Family Medicine, UMDNJ-RWJMS, One World's Fair Drive, Somerset, NJ 08873, USA.

Abstract

OBJECTIVE:

To develop an instrument to measure organizational attributes relevant for family practices using the perspectives of clinicians, nurses, and staff.

DATA SOURCES/STUDY SETTING:

Clinicians, nurses, and office staff (n=640) from 51 community family medicine practices.

DESIGN:

A survey, designed to measure a practices' internal resources for change, for use in family medicine practices was created by a multidisciplinary panel of experts in primary care research and health care organizational performance. This survey was administered in a cross-sectional study to a sample of diverse practices participating in an intervention trial. A factor analysis identified groups of questions relating to latent constructs of practices' internal resources for capacity to change. ANOVA methods were used to confirm that the factors differentiated practices.

DATA COLLECTION:

The survey was administered to all staff from 51 practices.

PRINCIPAL FINDINGS:

The factor analysis resulted in four stable and internally consistent factors. Three of these factors, "communication,""decision-making," and "stress/chaos," describe resources for change in primary care practices. One factor, labeled "history of change," may be useful in assessing the success of interventions.

CONCLUSIONS:

A 21-item questionnaire can reliably measure four important organizational attributes relevant to family practices. These attributes can be used both as outcome measures as well as important features for targeting system interventions.

PMID:
17489913
PMCID:
PMC1955254
DOI:
10.1111/j.1475-6773.2006.00644.x
[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley Icon for PubMed Central
    Loading ...
    Support Center