ArticleJournal of general internal medicine2022
Implementation and Qualitative Evaluation of a Primary Care Redesign Model with Expanded Scope of Work for Medical Assistants.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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Who cites it
8 citing papers in PubMed.
- Implementation of Expanding Primary Care Teams to Improve Anemia Diagnosis.Journal of primary care & community healthTrial
- Mapping policies, regulations, and practice supports for medical office assistants in primary care: a scoping review.BMC primary care · 2026Article
- A learning health systems approach to implementation and evaluation of an academic emergency department single shared note workflow.Learning health systems · 2025Article
- Evaluating Clinical Decision Supports to Improve Adolescent Depression Screening and Management in Pediatric Primary Care.Academic pediatrics · 2025Article
- Integrating a High Blood Pressure Advisory Across a Primary Care Network.JAMA network open · 2025Article
- Physician Perspectives on Ambient AI Scribes.JAMA network open · 2025Article
- Obstacles in Basic Health Service When Dealing with COVID-19: A Reflection for Improvement.Journal of multidisciplinary healthcare · 2024Article
- Primary Care Practice Characteristics Associated With Medical Assistant Staffing Ratios.Annals of family medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplementation of primary care models involving expanded scope of work and redesigned workflows for medical assistants (MAs) as primary care team members can be challenging. Implementation strategies and participatory evaluation informed by implementation science frameworks may inform organizational decisions about model scale-up and sustainment.
objectiveThis paper reports implementation strategies and qualitative evaluation of a primary care redesign (PCR) model implementation that included an expanded scope of work for MAs.
designQualitative evaluation of implementation strategies and clinician and staff experience with implementation of PCR using semi-structured key informant interviews. The evaluation was guided by the RE-AIM framework and the Consolidated Framework for Implementation Research.
participantsSixty-nine clinicians, staff, practice leaders, and administrators from 7 primary care practices (4 general internal medicine, 3 family medicine) implementing PCR.
interventionsThe PCR model included enhanced rooming and documentation support. The health system used multiple strategies to implement PCR, including rapid improvement events, changing clinic space configurations, developing electronic health record templates and performance dashboards, and practice coaching. APPROACH: The Consolidated Framework for Implementation Research and the RE-AIM evaluation and planning framework guided development of semi-structured interview guides. A deductive, structural coding approach was used for analysis. KEY
resultsPCR implementation was facilitated by clear communication about the intervention source, mechanisms for feedback about model goals, and physical environments and electronic health record (EHR) systems that supported the added staff and modified clinic workflow. Clinicians and staff benefited from the ability to see the model in action prior to go-live and opportunities for consistent provider-MA pairings.
conclusionsThe PCR model can support achieving the Quadruple Aim when fully implemented with paired MAs and clinicians who are well prepared to follow redesigned workflows and function as a team. Implementation can be effectively supported by a participatory evaluation guided by implementation science frameworks.
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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.