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"In Principle We Have Agreement, But in Practice It Is a Bit More Difficult": Obtaining Organizational Buy-In to Patient-Centered Medical Home Transformation.
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- Additional Information
- Source:
Publisher: Sage Publications Country of Publication: United States NLM ID: 9202144 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1049-7323 (Print) Linking ISSN: 10497323 NLM ISO Abbreviation: Qual Health Res
- Publication Information:
Publication: Thousand Oaks, CA : Sage Publications
Original Publication: Newbury Park, CA : Sage Publications, c1991-
- Subject Terms:
- Abstract:
The patient-centered medical home (PCMH) is a model of care that emphasizes the coordination of patient treatment among health care providers. Practice transformation to this model, however, presents a number of challenges. One of these challenges is getting the buy-in of all personnel to commit to making organizational changes in the journey to becoming a nationally recognized medical home. This study investigated internal messages of buy-in as communicated by practices transitioning to this type of care. Grounding itself in stakeholder theory, this study analyzed interviews with staff, administration, and practitioners from 20 medical practices in a mid-Atlantic state. The analysis revealed three overarching themes: (a) communication among staff that is open, consistent; (b) implementation of reinforcement techniques; and (c) access to a change implementer who encourages successful evolution. Discussion of these themes provides recommendations for communication approaches to organizational buy-in for medical practices hoping to become a PCMH.
- Contributed Indexing:
Keywords: behavior change; group interaction; health care; managed; teamwork
- Publication Date:
Date Created: 20161203 Date Completed: 20180416 Latest Revision: 20220318
- Publication Date:
20240829
- Accession Number:
10.1177/1049732316680601
- Accession Number:
27909251
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