Linking Structural Capabilities and Workplace Climate in Community Health Centers

Inquiry : a Journal of Medical Care Organization, Provision and Financing
Grant R MartsolfHector P Rodriguez

Abstract

Many strategies to improve health care quality focus on improving the structural capabilities of primary care practices, including quality infrastructure and registry use, which are critical to managing chronic diseases. However, improving structural capabilities requires practices to expend significant resources and can be especially disruptive to community health centers (CHCs) serving high proportions of socioeconomically vulnerable patients. We explore the relationship between the structural capabilities and workplace climate in CHCs. The final sample for this analysis includes 25 CHC sites that could be matched across CHC site director surveys of structural capabilities and CHC adult primary care clinicians and staff (n = 446). To estimate the association between structural capabilities and dimensions of workplace climate, we estimated multivariate linear regression models that included the climate scales as dependent variables and the 5 structural capability scales as the main independent variables, with the 3 clinic-level and 2 staff-level covariates. More manageable clinic workload was associated with lower electronic record functionality (β = -0.47, P = .007), but positively associated with quality infrastructure (β = ...Continue Reading

References

Oct 9, 2002·JAMA : the Journal of the American Medical Association·Thomas BodenheimerKevin Grumbach
Dec 4, 2003·The Journal of the American Board of Family Practice·Ann CuroeAmer Kaissi
Oct 8, 2004·Joint Commission Journal on Quality and Safety·Thomas BodenheimerJames C Robinson
Mar 30, 2006·Annals of Family Medicine·Leif I SolbergBenjamin F Crabtree
Sep 23, 2008·The Journal of Ambulatory Care Management·Marshall H ChinLawrence P Casalino
Dec 4, 2008·Journal of General Internal Medicine·Mark W FriedbergEric C Schneider
Jun 16, 2010·Archives of Internal Medicine·Mark W FriedbergEric C Schneider
Dec 17, 2010·The Journal of Ambulatory Care Management·Donna Pillittere DuganDebora Goetz Goldberg
Jul 2, 2011·Health Affairs·Diane R RittenhouseMelinda L Drum
Jan 11, 2012·Archives of Internal Medicine·Sarah E LewisMarshall H Chin
Jun 8, 2012·Health Services Research·Grant R MartsolfStephen M Shortell
Dec 4, 2014·BMC Health Services Research·Philip J Van der WeesHector P Rodriguez
Feb 12, 2015·Journal of General Internal Medicine·Grant R MartsolfMark W Friedberg
Jun 22, 2016·Medical Care·Mark W FriedbergArturo Vargas Bustamante

❮ Previous
Next ❯

Citations

Nov 24, 2020·Policy, Politics & Nursing Practice·Jordan M HarrisonGrant R Martsolf
Nov 21, 2020·Medical Care Research and Review : MCRR·Hayley D GermackGrant R Martsolf

❮ Previous
Next ❯

Software Mentioned

SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the American Board of Family Medicine : JABFM
Steffani R BaileyJennifer E Devoe
Journal of Health Care for the Poor and Underserved
Deborah GurewichDiana Traje
© 2022 Meta ULC. All rights reserved