ArticleArchives of internal medicine2012
Patient-centered medical home characteristics and staff morale in safety net clinics.
Article in Archives of internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.
- Do Patient-Centered Medical Homes Improve Health Behaviors, Outcomes, and Experiences of Low-Income Patients? A Systematic Review and Meta-Analysis.Health services research · 2018Pooled it
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- Effects of Guided Care on providers' satisfaction with care: a three-year matched-pair cluster-randomized trial.Population health management · 2013Trial
- Workplace indicators and well-being among oral health professionals in HRSA-funded health centres.Health affairs scholar · 2026Article
- Comparing Work Experiences of Internal Medicine Physicians in Veterans Affairs and Non-Federal Hospitals: A National Survey.Journal of general internal medicine · 2026Article
- National assessment of health center readiness to train health profession students.BMC health services research · 2025Article
- Implementation of VA care coordination program to improve transitional care for veterans post-non-VA hospital discharge: an incremental cost analysis.Implementation science communications · 2023Article
- Exploring Sacred Moments in Hospitalized Patients: An Exploratory Qualitative Study.Journal of general internal medicine · 2023Article
- Facilitation of team-based care to improve HTN management and outcomes: a protocol for a randomized stepped wedge trial.BMC health services research · 2023Article
- The Link between HRM Practices and Performance in Healthcare: The Mediating Role of the Organizational Change Process.Healthcare (Basel, Switzerland) · 2023Article
- Association between care coordination tasks with non-VA community care and VA PCP burnout: an analysis of a national, cross-sectional survey.BMC health services research · 2021Article
- Associations of physician burnout with organizational electronic health record support and after-hours charting.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- The Key Role of Strategically and People-Oriented HRM in Hospitals in Slovakia in the Context of Their Organizational Performance.Healthcare (Basel, Switzerland) · 2021Article
- Bridging the evidence-to-practice gap: a stepped-wedge cluster randomized controlled trial evaluating practice facilitation as a strategy to accelerate translation of a multi-level adherence intervention into safety net practices.Implementation science communications · 2021Article
- Perceived Organizational Support and Work Engagement of First-Line Managers in Healthcare - The Mediation Role of Feedback Seeking Behavior.Journal of multidisciplinary healthcare · 2021Article
- Association between person-centred care and healthcare providers' job satisfaction and work-related health: a scoping review.BMJ open · 2020Article
- Organizational Factors Influencing the Early Implementation Process of Diabetes Group Visits by Five Midwestern Community Health Centers: A Multisite Case Study Analysis.Population health management · 2020Article
- Care coordinator assistants: Job satisfaction and the importance of teamwork in delivering person-centered dementia care.Dementia (London, England) · 2020Article
- Association Between Difficulty with VA Patient-Centered Medical Home Model Components and Provider Emotional Exhaustion and Intent to Remain in Practice.Journal of general internal medicine · 2020Article
- Development and Testing of the Provider and Staff Perceptions of Integrated Care (PSPIC) Survey.Medical care research and review : MCRR · 2019Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
Abstract
backgroundWe sought to determine whether perceived patient-centered medical home (PCMH) characteristics are associated with staff morale, job satisfaction, and burnout in safety net clinics.
methodsSelf-administered survey among 391 providers and 382 clinical staff across 65 safety net clinics in 5 states in 2010. The following 5 subscales measured respondents' perceptions of PCMH characteristics on a scale of 0 to 100 (0 indicates worst and 100 indicates best): access to care and communication with patients, communication with other providers, tracking data, care management, and quality improvement. The PCMH subscale scores were averaged to create a total PCMH score.
resultsSix hundred three persons (78.0%) responded. In multivariate generalized estimating equation models, a 10% increase in the quality improvement subscale score was associated with higher morale (provider odds ratio [OR], 2.64; 95% CI, 1.47-4.75; staff OR, 3.62; 95% CI, 1.84-7.09), greater job satisfaction (provider OR, 2.45; 95% CI, 1.42-4.23; staff OR, 2.55; 95% CI 1.42-4.57), and freedom from burnout (staff OR, 2.32; 95% CI, 1.31-4.12). The total PCMH score was associated with higher staff morale (OR, 2.63; 95% CI, 1.47-4.71) and with lower provider freedom from burnout (OR, 0.48; 95% CI, 0.30-0.77). A separate work environment covariate correlated highly with the quality improvement subscale score and the total PCMH score, and PCMH characteristics had attenuated associations with morale and job satisfaction when included in models.
conclusionsProviders and staff who perceived more PCMH characteristics in their clinics were more likely to have higher morale, but the providers had less freedom from burnout. Among the PCMH subscales, the quality improvement subscale score particularly correlated with higher morale, greater job satisfaction, and freedom from burnout.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.