ArticleHealth services research2016
Trust and Reflection in Primary Care Practice Redesign.
Article in Health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis 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.
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
12 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
- Periodic reflections: a method of guided discussions for documenting implementation phenomena.BMC medical research methodology · 2018Trial
- Balancing fidelity and flexibility: a case study presentation of an augmented dynamic adaptation process for socio-technical innovations in healthcare.Frontiers in health services · 2026Article
- How an evidence synthesis program's growth has supported research use and learning community partnership networks within a learning health system: A descriptive analysis and case series.Learning health systems · 2025Article
- Using Planned and Unplanned Adaptation to Implement Universal Alcohol Screening and Brief Intervention to Prevent Alcohol-Exposed Pregnancies in Four Primary Care Health Systems.Substance use & addiction journal · 2025Article
- Barriers and facilitators to implementing evidence-based interventions in the context of a randomized clinical trial in the United States: a qualitative study.BMC health services research · 2023Article
- Understanding primary care-oncology relationships within a changing healthcare environment.BMC family practice · 2019Article
- Professional Communication Networks and Job Satisfaction in Primary Care Clinics.Annals of family medicine · 2019Article
- Partnering with the Health Professions to Promote Prevention of an Alcohol-Exposed Pregnancy: Lessons Learned from an Academic⁻Organizational Collaborative.International journal of environmental research and public health · 2019Article
- Medical Group Characteristics and the Cost and Quality of Care for Medicare Beneficiaries.Health services research · 2018Article
- Examining the Complexity of Patient-Outpatient Care Team Secure Message Communication: Qualitative Analysis.Journal of medical Internet research · 2018Article
- Use of Quality Improvement Strategies Among Small to Medium-Size US Primary Care Practices.Annals of family medicine · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveTo test a conceptual model of relationships, reflection, sensemaking, and learning in primary care practices transitioning to patient-centered medical homes (PCMH). DATA SOURCES/STUDY
settingPrimary data were collected as part of the American Academy of Family Physicians' National Demonstration Project of the PCMH. STUDY
designWe conducted a cross-sectional survey of clinicians and staff from 36 family medicine practices across the United States. Surveys measured seven characteristics of practice relationships (trust, diversity, mindfulness, heedful interrelation, respectful interaction, social/task relatedness, and rich and lean communication) and three organizational attributes (reflection, sensemaking, and learning) of practices. DATA COLLECTION/EXTRACTION
methodsWe surveyed 396 clinicians and practice staff. We performed a multigroup path analysis of the data. Parameter estimates were calculated using a Bayesian estimation method. PRINCIPAL
findingsTrust and reflection were important in explaining the characteristics of practice relationships and their associations with sensemaking and learning. The strongest associations between relationships, sensemaking, and learning were found under conditions of high trust and reflection. The weakest associations were found under conditions of low trust and reflection.
conclusionsTrust and reflection appear to play a key role in moderating relationships, sensemaking, and learning in practices undergoing practice redesign.
Indexed as
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What OpenQuestion holds
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.