Effect of Organizational Culture on Patient Access, Care Continuity, and Experience of Primary Care

被引：9

作者：

Hung, Dorothy ^{[1
]}

Chung, Sukyung ^{[1
]}

Martinez, Meghan ^{[1
]}

Tai-Seale, Ming ^{[1
]}

机构：

[1] Palo Alto Med Fdn, Res Inst, 2350 W El Camino Real 447, Mountain View, CA 94040 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2016年 / 39卷 / 03期

基金：

美国医疗保健研究与质量局;

关键词：

care continuity; generalized least squares regression; organizational culture; patient access; patient experience; primary care;

D O I：

10.1097/JAC.0000000000000116

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This study examined relationships between organizational culture and patient-centered outcomes in primary care. Generalized least squares regression was used to analyze patient access, care continuity, and reported experiences of care among 357 physicians in 41 primary care departments. Compared with a "Group-oriented" culture, a "Rational" culture type was associated with longer appointment wait times, and both "Hierarchical" and "Developmental" culture types were associated with less care continuity, but better patient experiences with care. Understanding the unique effects of organizational culture can enhance the delivery of more patient-centered care.

引用

页码：242 / 252

页数：11

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