Evidence map›Paper›PMID 23011071›Full record

ArticleQuality management in health care

Sustainability in primary care and Mental Health Integration projects in Veterans Health Administration.

James H Ford, Dean Krahn, Karen Anderson Oliver, JoAnn Kirchner

Abstract read
In one paragraph

Article in Quality management in health care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Family care map: Sustaining family-centered care in Polytrauma Rehabilitation Centers.Journal of rehabilitation research and development · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

James H FordCenter for Health Enhancement Systems Studies, University of Wisconsin- Madison, Madison, WI 53706, USA. jay.ford@chess.wisc.edu
Dean Krahn
Karen Anderson Oliver
JoAnn Kirchner

Funding

RCT Evaluating Improvement Strategies for Addiction TxR01DA020832 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI GUSTAFSON, DAVID H · 2006 to 2010
$7.3M
NIDA NIH HHS R01 DA020832NIDA NIH HHS R01DA020832
6 · The paper itself

Abstract

objectiveTo explore staff perceptions about sustainability, commitment to change, participation in change process, and information received about the change project within the Veterans Administration Primary Care and Mental Health Integration (PC-MHI) initiative and to examine differences from the Veterans Health Administration Mental Health Systems Redesign (MHSR) initiative. DATA SOURCES: Surveys of change team members involved in the Veterans Affairs PC-MHI and MHSR initiatives. STUDY

designOne-way analysis of variance examined the relationship between commitment, participation and information, and sustainability. Differences in PC-MHI sustainability were explored by location and job classification. Staff sustainability perceptions were compared with MHSR results. PRINCIPAL

findingsSustainability differed by staff discipline. Difference between MHSR and PC-MHI existed by job function and perceptions about the change benefits. Participation in the change process and information received about the change process were positively correlated with sustainability. Staff commitment to change was positively associated with staff perceptions about the benefits of change and staff attitudes toward change.

conclusionsSustainability is an important part of organizational change efforts. Change complexity seems to influence perception about sustainability and impacts staff perceptions about the benefits of change. These perceptions seem to be driven by the information received and opportunities to participate in the change process. Further research is needed to understand how information and participation influence sustainability and affect employee commitment to change.

Indexed as

Delivery of Health Care, IntegratedUnited States Department of Veterans AffairsVeterans HealthAttitude of Health PersonnelFemaleHealth Care SurveysHumansMaleMental Health ServicesPrimary Health CareProgram EvaluationUnited States

Identifiers

PMID23011071
PMCPMC4559333

What OpenQuestion holds

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Registered trials

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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.