ArticleBMC health services research2011
Reciprocal learning and chronic care model implementation in primary care: results from a new scale of learning in primary care.
Article in BMC health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Identification, summary and comparison of tools used to measure organizational attributes associated with chronic disease management within primary care settings.Journal of evaluation in clinical practice · 2014Pooled it
- Physician Intervention and Chinese Americans' Colorectal Cancer Screening.American journal of health behavior · 2018Trial
- Study protocol for "Study of Practices Enabling Implementation and Adaptation in the Safety Net (SPREAD-NET)": a pragmatic trial comparing implementation strategies.Implementation science : IS · 2015Trial
- MyPreventiveCare: implementation and dissemination of an interactive preventive health record in three practice-based research networks serving disadvantaged patients--a randomized cluster trial.Implementation science : IS · 2014Trial
- Trial
- The importance of relational coordination and reciprocal learning for chronic illness care within primary care teams.Health care management reviewTrial
- Defining Consensus-Based Components for Integrating Dietitians Into Primary Dental Care for Paediatric Populations: A Delphi Study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Editorial: The theory and pragmatics of power and relationships in implementation.Frontiers in health services · 2023Article
- Missed nursing care and complexity theory: a conceptual paper.Journal of research in nursing : JRN · 2021Article
- Hospital-Level Variability in Outcomes of Patients With COVID-19.Journal of hospital medicine · 2021Article
- Hospital Workforce Engagement and Inpatient Mortality Rate: Findings from the English National Health Service Staff Surveys.Journal of general internal medicine · 2020Article
- Leading Innovative Practice: Leadership Attributes in LEAP Practices.The Milbank quarterly · 2020Article
- Trust and Reflection in Primary Care Practice Redesign.Health services research · 2016Article
- Article
- Modelling successful primary care for multimorbidity: a realist synthesis of successes and failures in concurrent learning and healthcare delivery.BMC family practice · 2015Article
- Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science.Implementation science : IS · 2014Review
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundEfforts to improve the care of patients with chronic disease in primary care settings have been mixed. Application of a complex adaptive systems framework suggests that this may be because implementation efforts often focus on education or decision support of individual providers, and not on the dynamic system as a whole. We believe that learning among clinic group members is a particularly important attribute of a primary care clinic that has not yet been well-studied in the health care literature, but may be related to the ability of primary care practices to improve the care they deliver.To better understand learning in primary care settings by developing a scale of learning in primary care clinics based on the literature related to learning across disciplines, and to examine the association between scale responses and chronic care model implementation as measured by the Assessment of Chronic Illness Care (ACIC) scale.
methodsDevelopment of a scale of learning in primary care setting and administration of the learning and ACIC scales to primary care clinic members as part of the baseline assessment in the ABC Intervention Study. All clinic clinicians and staff in forty small primary care clinics in South Texas participated in the survey.
resultsWe developed a twenty-two item learning scale, and identified a five-item subscale measuring the construct of reciprocal learning (Cronbach alpha 0.79). Reciprocal learning was significantly associated with ACIC total and sub-scale scores, even after adjustment for clustering effects.
conclusionsReciprocal learning appears to be an important attribute of learning in primary care clinics, and its presence relates to the degree of chronic care model implementation. Interventions to improve reciprocal learning among clinic members may lead to improved care of patients with chronic disease and may be relevant to improving overall clinic performance.
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