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大象APPResearch Studies

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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.

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1 to 3 of 3 Research Studies Displayed
Wood SJ, Albertson EM, Conrad DA
Accountable care program implementation and effects on participating health care systems in Washington state: a conceptual model.
This study used key informant interviews with health care executives representing 5 large health systems contracted with the Washington State Health Care Authority to provide accountable care network services under the State Innovation Model initiative. Two rounds of semistructured interviews were conducted, and results indicated the need to present a modified conceptual model aligned better with accountable care program (ACP) implementation.
AHRQ-funded; HS013853.
Citation: Wood SJ, Albertson EM, Conrad DA . Accountable care program implementation and effects on participating health care systems in Washington state: a conceptual model. J Ambul Care Manage 2019 Oct/Dec;42(4):321-36. doi: 10.1097/jac.0000000000000302..
Keywords: Health Systems, Provider Performance, Organizational Change, Health Services Research (HSR), Payment, Health Insurance, Implementation
Lasater KB, Jarrin OF, Aiken LH
A methodology for studying organizational performance: a multistate survey of front-line providers.
The objective of this study was to describe a novel approach to obtaining a representative sample of organizations using individuals nested within organizations, and demonstrate how resurveying nonrespondents could allay concerns about bias from low response rates at the individual-level. The investigators concluded that surveying organizations via random sampling of front-line providers could avoid the self-selection issues caused by directly sampling organizations.
AHRQ-funded; HS022406.
Citation: Lasater KB, Jarrin OF, Aiken LH . A methodology for studying organizational performance: a multistate survey of front-line providers. Med Care 2019 Sep;57(9):742-49. doi: 10.1097/mlr.0000000000001167..
Keywords: Provider Performance, Organizational Change
Hung DY, Harrison MI, Liang SY
大象APPAuthor: Harrison MI
Contextual conditions and performance improvement in primary care.
This study examined organizational features of primary care clinics that had gone through Lean redesigns and had experienced the greatest performance improvements. They surveyed 1333 physicians and staff in 43 primary care clinics across a large primary care system. They found that clinics with prior experience with quality improvement had the highest increases in efficiency. Clinics reporting the highest levels of burnout and work stress before the redesign also made efficiency gains. Physician productivity gains was associated with a history of change, staff participation and leadership support. The greatest improvements in patient satisfaction occurred where there was the lowest stress levels with highest levels of teamwork, staff engagement and leadership support.
AHRQ-authored; AHRQ-funded; 2902010000221.
Citation: Hung DY, Harrison MI, Liang SY . Contextual conditions and performance improvement in primary care. Qual Manag Health Care 2019 Apr/Jun;28(2):70-77. doi: 10.1097/qmh.0000000000000198..
Keywords: Organizational Change, Healthcare Delivery, Primary Care, Provider Performance, Quality Improvement, Quality of Care, Workflow

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