Dugan Donna Pillittere, Mick Stephen S, Scholle Sarah Hudson, Steidle Ernie F, Goldberg Debora Goetz
J Ambul Care Manage. 2011 Jan-Mar;34(1):47-56. doi: 10.1097/JAC.0b013e3181ff6ef2.
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.
以患者为中心的医疗之家是一种依靠完善系统提供全面初级保健的方法。研究表明，为使医疗实践符合以患者为中心的医疗之家的要求，可能需要重新设计护理模式。然而，关于哪些因素对实现这一目标很重要的信息却很匮乏。来自明尼苏达州42家医疗机构的293名工作人员的自我报告调查显示，系统使用情况和组织文化维度存在差异。强调团队合作和质量而非自主性的组织文化与临床医生提醒、临床质量评估与改进以及临床信息系统的使用显著相关。
