当前位置： SCI文献检索 > JOURNAL OF GENERAL INTERNAL MEDICINE期刊下所有文献 > Testing the exportability of a tool for detecting operational problems in VA teaching clinics.

Testing the exportability of a tool for detecting operational problems in VA teaching clinics.

Abstract：

BACKGROUND:Recurrent operational problems in teaching clinics may be caused by the different medical preferences of patients, residents, faculty, and administrators. These preference differences can be identified by cultural consensus analysis (CCA), a standard anthropologic tool. OBJECTIVE:This study tests the exportability of a unique CCA tool to identify site-specific operational problems at 5 different VA teaching clinics. DESIGN:We used the CCA tool at 5 teaching clinics to identify group preference differences between the above groups. We averaged the CCA results for all 5 sites. We compared each site with the averages in order to isolate each site's most anomalous responses. Major operational problems were independently identified by workgroups at each site. Cultural consensus analysis performance was then evaluated by comparison with workgroup results. PARTICIPANTS:Twenty patients, 10 residents, 10 faculty, members, and 10 administrators at each site completed the CCA. Workgroups included at minimum: a patient, resident, faculty member, nurse, and receptionist or clinic administrator. APPROACH:Cultural consensus analysis was performed at each site. Problems were identified by multidisciplinary workgroups, prioritized by anonymous multivoting, and confirmed by limited field observations and interviews. Cultural consensus analysis results were compared with workgroup results. RESULTS:The CCA detected systematic, group-specific preference differences at each site. These were moderately to strongly associated with the problems independently identified by the workgroups. The CCA proved to be a useful tool for exploring the problems in depth and for detecting previously unrecognized problems. CONCLUSIONS:This CCA worked in multiple VA sites. It may be adapted to work in other settings or to better detect other clinic problems.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Smith CS,Morris M,Hill W,Francovich C,McMullin J,Christiano J,Chavez L,Roth C,Vo A,Wheeler S,Milne C

doi

10.1111/j.1525-1497.2006.00313.x

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

152-7

issue

eissn

0884-8734

issn

1525-1497

pii

JGI313

journal_volume

pub_type

杂志文章,多中心研究

在线工具

Testing the exportability of a tool for detecting operational problems in VA teaching clinics.