A Cross-Sectional Analysis of Primary Care Practice Characteristics and Healthcare Professionals’ Behavioral Responses to Change
Bibliographic Data
| ID | 13775704 |
|---|---|
| Authors | Victoria Grady (George Mason University), Victoria M Grady (George Mason University, Fairfax, VA, USA), Tulay G Soylu (0000-0003-2620-766X, Temple University, Philadelphia, PA, USA, corresponding author), Debora Goetz Goldberg (0000-0003-3121-7942, George Mason University), Panagiota Kitsantas (0000-0003-0261-9002, George Mason University, Fairfax, VA, USA), James D Grady (Pivot Point Business Solutions, Fairfax, VA, USA) |
| Year | 2021 |
| Volume | 58 |
| Pages | 46958021996518-46958021996518 |
| Publication date | 2021-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/0046958021996518 |
| PMID | 33645303 |
| OpenAlex | W3134463498 |
| Language | EN |
| Citations received | 1 |
| References cited | 17 |
The recent decade brought major changes to primary care practices. Previous research on change has focused on change processes, and change implementations rather than studying employee's feelings, perceptions, and attitudes toward change. The objective of this cross-sectional study was to examine the relationship between healthcare professionals' behavioral responses to change and practice characteristics. Our study, which builds upon Conner's theory, addresses an extensive coverage of individual behaviors, feelings, and attitudes toward change. We analyzed survey responses of healthcare professionals (n = 1279) from 154 primary care practices in Virginia. Healthcare professionals included physicians, advanced practice clinicians, clinical support staff, and administrative staff. The Change Diagnostic Index © (CDI) was used to measure behavioral responses in 7 domains: anxiety, frustration, delayed development, rejection of environment, refusal to participate, withdrawal, and global reaction. We used descriptive statistics and multivariate regression analysis. Our findings indicate that professionals had a significantly lower aptitude for change if they work in larger practices (≥16 clinicians) compared to solo practices ( P P P < .05). Understanding healthcare professionals' responses to change can help healthcare leaders design and implement successful change management strategies for future transformation
Anxiety · Cross-sectional study · Descriptive statistics · Feeling · Health care · Health professionals · Perception · Political science · Psychiatry · Healthcare professionals’ stress and burnout · Healthcare Quality and Management · Medicine · Nursing · Primary Care and Health Outcomes · Psychology · Social Psychology
| Citations per year | 0.33 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |