Jones Geoffrey L, Lima Elizabeth
Hendersonville Family Medicine Residency Program, Hendersonville, NC 28791, USA.
Fam Med. 2011 Jul-Aug;43(7):522-5.
Practice redesign is one of the core principles of the Patient-centered Medical Home. Little is known about how such large-scale changes in a residency practice affect the providers and staff involved.
Focus groups were conducted with residents, faculty, and medical support staff of a redesigned practice to determine the factors that contributed to the success of a practice redesign experiment.
Challenges included obtaining sufficient buy-in for the process, ineffective communication from practice leadership, and insufficient staff training. Facilitating factors included involving staff in developing solutions, enhanced responsibility, and team cohesion over time. Residents involved in the redesign effort felt that it enhanced their practice experience.
Practice redesign can be a challenging task for residency practices to complete successfully. Committed leadership and planning, with attention to the impact that such a change will have on those involved, can greatly impact the likelihood of success.
实践重新设计是以患者为中心的医疗之家的核心原则之一。对于住院医师培训实践中的此类大规模变革如何影响相关医护人员和工作人员，我们知之甚少。
对一个重新设计的实践机构的住院医师、教员和医疗支持人员进行了焦点小组访谈，以确定促成实践重新设计实验成功的因素。
挑战包括在过程中获得足够的支持、实践领导层的沟通无效以及工作人员培训不足。促进因素包括让工作人员参与解决方案的制定、增强责任感以及随着时间推移形成团队凝聚力。参与重新设计工作的住院医师认为这提升了他们的实践体验。
实践重新设计对于住院医师培训实践来说可能是一项具有挑战性的任务，难以成功完成。坚定的领导和规划，并关注此类变革对相关人员的影响，会极大地影响成功的可能性。
