| The effects of residency practice redesign on providers and staff. | |
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MedLine Citation:
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PMID: 21761385 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND AND OBJECTIVES: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. |
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Authors:
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Geoffrey L Jones; Elizabeth Lima |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Family medicine Volume: 43 ISSN: 1938-3800 ISO Abbreviation: Fam Med Publication Date: 2011 Jul-Aug |
Date Detail:
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Created Date: 2011-07-15 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8306464 Medline TA: Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: 522-5 Citation Subset: IM |
Affiliation:
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Hendersonville Family Medicine Residency Program, Hendersonville, NC. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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