ArticleHealth care management review
The relationship between voice climate and patients' experience of timely care in primary care clinics.
Article in Health care management review. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Towards a Quality Care Climate Perspective: A Systematic Review of Associations Among Patient Experience, Patient Outcomes, and Organisational Climate Factors in Hospitals.International journal of environmental research and public health · 2026Pooled it
- A systematic review of research on empathy in health care.Health services research · 2023Pooled it
- The cooperative difference: perceived drivers of higher care quality at home care cooperatives.Health affairs scholar · 2025Article
- Having a Say in Patient Care: Factors Associated with High and Low Voice among Home Care Workers.Journal of the American Medical Directors Association · 2024Article
- Associations of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Scores with Interventions and Site, Provider, and Patient Factors: A Systematic Review of the Evidence.Journal of patient experience · 2024Article
- How the CAHPS Clinician and Group Patient Experience Survey Data Have Been Used in Research: A Systematic Review.Journal of patient-centered research and reviews · 2024Review
- Development and testing of a survey measure of organizational perinatal patient-centered care culture.Health services research · 2022Article
- Psychological safety and infection prevention practices: Results from a national survey.American journal of infection control · 2020Article
- Patient Experience in Primary Care: A Systematic Review of CG-CAHPS Surveys.Journal of patient experience · 2019Article
- Clinic Workload, the Quality of Staff Relationships and Diabetes Management in Community Health Centers Catering to Latino and Chinese Patients.Journal of community health · 2017Article
- Psychometric Evaluation of an Instrument for Measuring Organizational Climate for Quality: Evidence From a National Sample of Infection Preventionists.American journal of medical quality : the official journal of the American College of Medical Quality · 2016Article
- How psychological safety and feeling heard relate to burnout and adaptation amid uncertainty.Health care management reviewArticle
- Patient-Rated Access to Needed Care: Patient-Centered Medical Home Principles Intertwined.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAspects of the patient care experience, despite being central to quality care, are often problematic. In particular, patients frequently report problems with timeliness of care. As yet, research offers little insight on setting characteristics that contribute to patients' experience of timely care. PURPOSE: The aims of this study were to assess the relationship between organizational climate and patients' reports of timely care in primary care clinics and to broadly examine the link between staff's work environment and patient care experiences. We test hypotheses about the relationship between voice climate--staff feeling safe to speak up about issues--and reported timeliness of care, consistency in reported voice climate across professions, and how climate differences for various professions relate to timely care. METHODOLOGY: We conducted a cross-sectional study of employees (n = 1,121) and patients (n = 8,164) affiliated with 37 clinics participating in a statewide reporting initiative. Employees were surveyed about clinics' voice climate, and patients were surveyed about the timeliness of care. Hypotheses were tested using analysis of variance and generalized estimating equations.
findingsClinical and administrative staff (e.g., nurses and office assistants) reported clinics' climates to be significantly less supportive of voice than did clinical leaders (e.g., physicians). The greater the difference in reported support for voice between professional groups, the less patients reported experiencing timely care in three respects: obtaining an appointment, seeing the doctor within 15 minutes of appointment time, and receiving test results. In clinics where staff reported climates supportive of voice, patients indicated receiving more timely care. Clinical leaders' reports of voice climate had no relationship to reported timeliness of care. PRACTICAL IMPLICATIONS: Our findings suggest the importance of clinics developing a strong climate for voice, particularly for clinical and administrative staff, to support better service quality for patients.
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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.