ArticleInquiry : a journal of medical care organization, provision and financing
Linking Structural Capabilities and Workplace Climate in Community Health Centers.
Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Measures of Organizational Culture and Climate in Primary Care: a Systematic Review.Journal of general internal medicine · 2021Pooled it
- Methods and lessons from conducting a national study of primary care nurse practitioners.Journal of the American Association of Nurse Practitioners · 2025Article
- Dementia care management in primary care practices: a descriptive study among nurse practitioners.BMC primary care · 2025Article
- Nurse Practitioner Care Environments and Provider Shortages Among Patients With Multiple Chronic Conditions.Research in nursing & health · 2025Article
- Racial disparities in hospitalization and neighborhood deprivation among Medicare beneficiaries.Health affairs scholar · 2025Article
- Nurse Practitioner Work Environment and Rural Primary Care for Substance Use.The journal for nurse practitioners : JNP · 2024Article
- Primary care nurse practitioner work environments and emergency department utilization among older adults with substance use disorders in rural areas.Journal of substance use and addiction treatment · 2024Article
- Nurse Practitioner Care Environments and Racial and Ethnic Disparities in Hospitalization Among Medicare Beneficiaries with Coronary Heart Disease.Journal of general internal medicine · 2024Observational
- Structural capabilities in primary care practices where nurse practitioners care for persons living with dementia.International journal of older people nursing · 2023Article
- The Association between Primary Care Practices' Structural Capabilities and Hospitalizations among Persons Living with Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- The Association between Health Professional Shortage Area (HPSA) Status, Work Environment, and Nurse Practitioner Burnout and Job Dissatisfaction.Journal of health care for the poor and underserved · 2022Article
- Surveying Primary Care Nurse Practitioners: An Overview of National Sampling Frames.Policy, politics & nursing practice · 2021Article
- Use of multifunctional electronic health records and burnout among primary care nurse practitioners.Journal of the American Association of Nurse Practitioners · 2021Article
- Educational preparation of primary care nurse practitioners and outcomes for patients with dementia.Nursing outlookArticle
- DNP preparation of primary care nurse practitioners and clinical outcomes for patients with chronic conditions.Nursing outlookArticle
- Primary Care Nurse Practitioner Burnout and ED Use and Hospitalizations Among Chronically Ill Medicare Beneficiaries.Inquiry : a journal of medical care organization, provision and financingArticle
- Methodology of a Social Network Survey in Primary Care Practices With Medical Home Attributes.The Journal of ambulatory care managementArticle
- Burnout, job satisfaction, and turnover intention among primary care nurse practitioners with their own patient panels.Nursing outlookArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
Many strategies to improve health care quality focus on improving the structural capabilities of primary care practices, including quality infrastructure and registry use, which are critical to managing chronic diseases. However, improving structural capabilities requires practices to expend significant resources and can be especially disruptive to community health centers (CHCs) serving high proportions of socioeconomically vulnerable patients. We explore the relationship between the structural capabilities and workplace climate in CHCs. The final sample for this analysis includes 25 CHC sites that could be matched across CHC site director surveys of structural capabilities and CHC adult primary care clinicians and staff (n = 446). To estimate the association between structural capabilities and dimensions of workplace climate, we estimated multivariate linear regression models that included the climate scales as dependent variables and the 5 structural capability scales as the main independent variables, with the 3 clinic-level and 2 staff-level covariates. More manageable clinic workload was associated with lower electronic record functionality (β = -0.47, P = .007), but positively associated with quality infrastructure (β = 0.92, P = .007). Staff relationships and quality improvement orientation were positively associated with quality infrastructure (β = 1.09, P = .006 and β = 0.87, P = .005). Manager readiness was associated with more robust quality infrastructure (β = 1.35, P = .016), but lower electronic record functionality (β = -0.48, P = .015) and less proactive patient outreach (β = -1.32, P = .025). Complex relationships between structural capabilities and workplace climate were found in CHCs. Further clarification of these complex connections may enable policy makers and practitioners to design and implement nuanced strategies to improve quality of care in CHCs.
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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.