ArticleAnnals of family medicine
Relationship quality and patient-assessed quality of care in VA primary care clinics: development and validation of the work relationships scale.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Unpacking organizational readiness for change: an updated systematic review and content analysis of assessments.BMC health services research · 2020Pooled it
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- Conceptualising and assessing interdependent clinical performances: Early insights from emergency medicine and paediatric faculty.Medical education · 2026Article
- Well-being in intensive care: reflections from a multinational survey.Journal of anesthesia, analgesia and critical care · 2026Article
- A mixed-methods protocol to explore psychological distress and psychosocial needs along the continuum of CKD care- a single healthcare network.BMC nephrology · 2025Article
- Interprofessional Collaboration: Creating Effective Teams within and across Organizations.The Medical clinics of North America · 2025Review
- Editorial: The theory and pragmatics of power and relationships in implementation.Frontiers in health services · 2023Article
- Hospital-Level Variability in Outcomes of Patients With COVID-19.Journal of hospital medicine · 2021Article
- Article
- Primary care team communication networks, team climate, quality of care, and medical costs for patients with diabetes: A cross-sectional study.International journal of nursing studies · 2016Article
- Integrating Quantitative and Qualitative Results in Health Science Mixed Methods Research Through Joint Displays.Annals of family medicine · 2015Article
- Effects of primary care team social networks on quality of care and costs for patients with cardiovascular disease.Annals of family medicine · 2015Article
- Utilization of evidence-based psychotherapies in Veterans Affairs posttraumatic stress disorder outpatient clinics.Psychological services · 2015Article
- Improving outcomes of hospitalized patients: the Physician Relationships, Improvising, and Sensemaking intervention protocol.Implementation science : IS · 2014Observational
- Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science.Implementation science : IS · 2014Review
- ANTHROPOLOGIST AND GOVERNMENT EMPLOYEE: A DESCRIPTION OF CAREER PATHS TO BECOMING AN APPLIED ANTHROPOLOGIST WITH THE U.S. DEPARTMENT OF VETERAN AFFAIRS.Annals of anthropological practice · 2014Article
- Implementation of the Epilepsy Center of Excellence to improve access to and quality of care--protocol for a mixed methods study.Implementation science : IS · 2014Article
- In this issue: working in community and improving health care quality.Annals of family medicineArticle
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Authors and funding
7 authors.
Funding
Abstract
purposeEfforts to better understand the impact of clinic member relationships on care quality in primary care clinics have been limited by the absence of a validated instrument to assess these relationships. The purpose of this study was to develop and validate a scale assessing relationships within primary care clinics.
methodsThe Work Relationships Scale (WRS) was developed and administered as part of a survey of learning and relationships among 17 Department of Veterans Affairs (VA) primary care clinics. A Rasch partial-credit model and principal components analysis were used to evaluate item performance, select the final items for inclusion, and establish unidimensionality for the WRS. The WRS was then validated against semistructured clinic member interviews and VA Survey of Healthcare Experiences of Patients (SHEP) data.
resultsFour hundred fifty-seven clinicians and staff completed the clinic survey, and 247 participated in semistructured interviews. WRS scores were significantly associated with clinic-level reporting for 2 SHEP variables: overall rating of personal doctor/nurse (r(2) =0.43, P <.01) and overall rating of health care (r(2)= 0.25, P <.05). Interview data describing relationship characteristics were consistent with variability in WRS scores across low-scoring and high-scoring clinics.
conclusionsThe WRS shows promising validity as a measure assessing the quality of relationships in primary care settings; moreover, primary care clinics with lower WRS scores received poorer patient quality ratings for both individual clinicians and overall health care. Relationships play an important role in shaping care delivery and should be assessed as part of efforts to improve patient care within primary care settings.
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