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In Principle We Have Agreement, But in Practice It Is a Bit More Difficult

Obtaining Organizational Buy-In to Patient-Centered Medical Home Transformation

Bibliographic Data

ID4678575
AuthorsJanelle Applequist (0000-0002-6698-8555, University of South Florida, Tampa, Florida, USA, corresponding author), Michelle Miller-Day (0000-0003-3248-6095, Chapman University, Orange, California, USA), Peter F Cronholm (0000-0003-2570-7056, University of Pennsylvania, Philadelphia, Pennsylvania, USA), Robert A Gabbay (0000-0003-3541-1486, Harvard University, Cambridge, Massachusetts, USA), Deborah Silverman Bowen (University of South Florida)
Year2017
Volume27
Issue6
Pages909-922
Publication date2017-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732316680601
PMID27909251
OpenAlexW2558950811
LanguageEN
Citations received1
References cited43

The patient-centered medical home (PCMH) is a model of care that emphasizes the coordination of patient treatment among health care providers. Practice transformation to this model, however, presents a number of challenges. One of these challenges is getting the buy-in of all personnel to commit to making organizational changes in the journey to becoming a nationally recognized medical home. This study investigated internal messages of buy-in as communicated by practices transitioning to this type of care. Grounding itself in stakeholder theory, this study analyzed interviews with staff, administration, and practitioners from 20 medical practices in a mid-Atlantic state. The analysis revealed three overarching themes: (a) communication among staff that is open, consistent; (b) implementation of reinforcement techniques; and (c) access to a change implementer who encourages successful evolution. Discussion of these themes provides recommendations for communication approaches to organizational buy-in for medical practices hoping to become a PCMH

Commit · Family medicine · Health care · Knowledge management · Medical education · Medical home · Political science · Primary care · Public relations · Stakeholder · Computer Science · Interprofessional Education and Collaboration · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology

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Unique citing works1
Citations per year0,17
Citation span2020 - 2020 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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