ArticleAnnals of family medicine2014
Practice environments and job satisfaction in patient-centered medical homes.
Article in Annals of family medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of interventions for the well-being, satisfaction and flourishing of general practitioners-a systematic review.BMJ open · 2021Pooled it
- Improving surgical quality in low-income and middle-income countries: why do some health facilities perform better than others?BMJ quality & safety · 2021Article
- Implementation of a patient centred medical home (PCMH) initiative in general practices in New South Wales, Australia.BMC family practice · 2021Article
- The effects of enhanced primary healthcare interventions on primary care providers' job satisfaction.BMC health services research · 2020Article
- Patient Centred Medical Home (PCMH) transitions in western Sydney, Australia: a qualitative study.BMC health services research · 2020Article
- Provider Experiences with a Payer-Based PCMH Program.Journal of general internal medicine · 2019Observational
- Provider and Staff Morale, Job Satisfaction, and Burnout over a 4-Year Medical Home Intervention.Journal of general internal medicine · 2019Article
- Developing High-Functioning Teams: Factors Associated With Operating as a "Real Team" and Implications for Patient-Centered Medical Home Development.Inquiry : a journal of medical care organization, provision and financing · 2017Article
- Physician Satisfaction in Practices That Transformed Into Patient-Centered Medical Homes: A Statewide Study in New York.American journal of medical quality : the official journal of the American College of Medical Quality · 2016Article
- A double-edged sword: The effects of social network ties on job satisfaction in primary care organizations.Health care management reviewArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe undertook a study to evaluate the effects of medical home transformation on job satisfaction in the primary care setting.
methodsWe collected primary data from 20 primary care practices participating in medical home pilot projects in Rhode Island and Colorado from 2009 to 2011. We surveyed clinicians and staff about the quality of their practice environments (eg, office chaos, communication, difficulties in providing safe, high-quality care) and job satisfaction at baseline and 30 months, and about stress, burnout, and intention to leave at 30 months. We interviewed practice leaders about the impact of pilot project participation. We assessed longitudinal changes in the practice environment and job satisfaction and, in the final pilot year, examined cross-sectional associations between the practice environment and job satisfaction, stress, burnout, and intention to leave.
resultsBetween baseline and 30 months, job satisfaction improved in Rhode Island (P=.03) but not in Colorado. For both pilot projects, reported difficulties in providing safe, high-quality care decreased (P<.001), but emphasis on quality and the level of office chaos did not change significantly. In cross-sectional analyses, fewer difficulties in providing safe, high-quality care and more open communication were associated with greater job satisfaction. Greater office chaos and an emphasis on electronic information were associated with greater stress and burnout.
conclusionsMedical home transformations that emphasize quality and open communication while minimizing office chaos may offer the best chances of improving job satisfaction.
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Registered trials
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