Organizational culture, team climate and diabetes care in small office-based practices.

BMC Health Services Research
Marije BoschRichard Grol

Abstract

Redesigning care has been proposed as a lever for improving chronic illness care. Within primary care, diabetes care is the most widespread example of restructured integrated care. Our goal was to assess to what extent important aspects of restructured care such as multidisciplinary teamwork and different types of organizational culture are associated with high quality diabetes care in small office-based general practices. We conducted cross-sectional analyses of data from 83 health care professionals involved in diabetes care from 30 primary care practices in the Netherlands, with a total of 752 diabetes mellitus type II patients participating in an improvement study. We used self-reported measures of team climate (Team Climate Inventory) and organizational culture (Competing Values Framework), and measures of quality of diabetes care and clinical patient characteristics from medical records and self-report. We conducted multivariate analyses of the relationship between culture, climate and HbA1c, total cholesterol, systolic blood pressure and a sum score on process indicators for the quality of diabetes care, adjusting for potential patient- and practice level confounders and practice-level clustering. A strong group culture ...Continue Reading

References

Feb 25, 2000·BMJ : British Medical Journal·E H Wagner
May 15, 2001·Occupational and Environmental Medicine·M KivimäkiJ Firth-Cozens
Oct 6, 2001·BMJ : British Medical Journal·S M CampbellM O Roland
Apr 17, 2002·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Michel WensingRichard Grol
Oct 9, 2002·JAMA : the Journal of the American Medical Association·Thomas BodenheimerKevin Grumbach
Nov 6, 2002·Psychological Reports·Ingrid DackertCurt R Johansson
Jun 25, 2003·Journal of Health Services Research & Policy·Tim ScottHuw Davies
Aug 5, 2003·Quality & Safety in Health Care·P BowerB Sibbald
Sep 13, 2003·BMJ : British Medical Journal·Martin N MarshallHuw T O Davies
Mar 11, 2004·JAMA : the Journal of the American Medical Association·Kevin Grumbach, Thomas Bodenheimer
Apr 15, 2004·Medical Care·Mark MeterkoGary J Young
Dec 14, 2004·Medical Care·Stephen M ShortellMayde Rosen
Jan 11, 2005·Family Practice·Pieter van den HomberghRichard Grol
Oct 1, 2005·Quality & Safety in Health Care·J B CollaW B Weeks
Jul 27, 2006·JAMA : the Journal of the American Medical Association·Kaveh G ShojaniaDouglas K Owens
Sep 2, 2006·Western Journal of Nursing Research·Barbara B Brewer
Dec 14, 2006·JAMA : the Journal of the American Medical Association·Susan D Horn
Feb 9, 2007·Journal of Evaluation in Clinical Practice·Deborah C SaltmanMichael R Kidd
Mar 6, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Judith ProudfootMark F Harris
Nov 21, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Rob DijkstraRichard Grol

❮ Previous
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Citations

Jun 30, 2011·Health Care Management Review·Maria Pia FantiniFrancesco Longo
Mar 9, 2013·Journal of the American Board of Family Medicine : JABFM·Dena M FisherKurt C Stange
Jun 9, 2016·Open Access Macedonian Journal of Medical Sciences·Dragan MijakoskiJordan Minov
Jan 19, 2010·Diabetes/metabolism Research and Reviews·Damin SiTarun Weeramanthri
Nov 14, 2012·Journal of Clinical Nursing·Marleen SmitsPeter P Groenewegen
Jun 24, 2015·BMC Health Services Research·Mirjam KörnerAnja S Göritz
Dec 5, 2014·Journal of General Internal Medicine·L Miriam DickinsonDavid R West
May 25, 2012·Journal of the National Cancer Institute. Monographs·Kurt C StangeRussell E Glasgow
Apr 14, 2010·Journal of the National Cancer Institute. Monographs·Mary L FennellAndrew Salner
Jun 8, 2012·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Blossom Yen-Ju LinCheng-Chieh Lin
Dec 23, 2011·Journal of Patient Safety·Benjamin HagopianJohn Hickner
May 2, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Emmy RacinePatricia M Kearney
Feb 7, 2014·Journal of Nursing Care Quality·Gerda HollemanTheo van Achterberg
Apr 11, 2018·Journal of Medical Internet Research·Tania ConcaCarlos Fernandez-Llatas
Nov 12, 2015·Journal of Health Organization and Management·Jenna M EvansJan Barnsley
Nov 4, 2020·Journal of General Internal Medicine·Kimberly S HsiungDavid J Kolko

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