Collaborative Clinical Culture and Quality of Care
Collaborative Clinical Culture and Quality of Care
批准号:
6455697
负责人:
Sheldon Greenfield
金额:
$33.41万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2001
资助国家:
美国
项目状态:
已结题
起止时间:
2001-09-30 至 2004-09-29
中文摘要
描述(应用摘要):人们越来越认识到,
个别医生的行动,无论多么理想,可能不足以影响
慢性病患者的结局。凯撒永久格鲁吉亚已
彻底重组了其初级保健实践,使医生
辅以护理人员,服务可以个性化,工作人员,
包括医生在内的所有人都得到了必要的支持,
以患者为中心的变化。他们创建了卫生保健小组(HCT),
易于管理的医生、护士和辅助人员群体,
作为半自治单位运作,在财务上有相当大的独立性,
和人事问题,并有激励措施,以病人为导向。球队
它们在采纳成为我们所说的
协作临床文化(CCC)。我们提议的项目将把措施
组织文化和劳动力特征的广泛组合,
标准化的,常规收集的护理质量指标。我们将
使用授权和协作措施,确定
医护团队实现了角色整合,
功能我们将描述和验证一个衡量员工报告的指标,
"团队精神",可用于量化HCT上的劳动力整合。我们
将描述劳动力整合对从业者满意度的影响
和士气,无论是横向还是纵向。最后我们将
估计CCC和护理质量的关联,包括跨部门
纵向。这项研究的结果将提供深入了解
HCT是否与高员工士气和高质量护理相关。
英文摘要
DESCRIPTION (APPLICATION ABSTRACT): It is increasingly recognized that the
individual physicians' actions, however optimal, may not be adequate to affect
the outcomes of patients with chronic disease. Kaiser-Permanente Georgia has
completely reorganized its primary care practice so that physicians are
complemented by nurse personnel, service can be personalized, and staff,
including doctors, are provided with the support necessary to bring about the
patient centered changes. They have created Health Care Teams (HCT), small
easily manageable groups of physicians, nurses and ancillary personnel that
function as semi-autonomous units, have considerable independence in financial
and personnel matters, and have incentives to be patient oriented. Teams have
varied in their adoption of all elements necessary to become what we term a
Collaborative Clinical Culture (CCC). Our proposed project will link measures
of organizational culture and workforce characteristics with an extensive set
of standardized, routinely collected measures of quality of care. We will
determine the degree, using measures of delegation and collaboration, to which
the health care teams have achieved role integration and efficient
functioning. We will describe and validate a measure of staff reported
"teamness" that can be used to quantify the workforce integration on HCTs. We
will describe the impact of workforce integration on practitioner satisfaction
and morale, both cross-sectionally and longitudinally. Finally, we will
estimate the associations of CCC and quality of care, both cross-sectionally
and longitudinally. The results of this study will provide insight into
whether HCTs are associated with high staff morale and high quality of care.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
Clinical Investigator Team Leadership Award
-
批准号:8754491
-
项目类别:
-
资助金额:$5.0万
-
财政年份:2013
-
负责人:Sheldon Greenfield
-
依托单位:
Protocal Specific Resrarch Support
-
批准号:8740931
-
项目类别:
-
资助金额:$4.27万
-
财政年份:2013
-
负责人:Sheldon Greenfield
-
依托单位:
Clinical Trials Reporting Program
-
批准号:8754481
-
项目类别:
-
资助金额:$2.5万
-
财政年份:2013
-
负责人:Sheldon Greenfield
-
依托单位:
Reducing Diabetes Disparities Using Community Coaches
-
批准号:7795093
-
项目类别:
-
资助金额:$52.6万
-
财政年份:2007
-
负责人:Sheldon Greenfield
-
依托单位:
Reducing Diabetes Disparities Using Community Coaches
-
批准号:7390309
-
项目类别:
-
资助金额:$52.62万
-
财政年份:2007
-
负责人:Sheldon Greenfield
-
依托单位:
Reducing Diabetes Disparities Using Community Coaches
-
批准号:7259567
-
项目类别:
-
资助金额:$53.66万
-
财政年份:2007
-
负责人:Sheldon Greenfield
-
依托单位:
Reducing Diabetes Disparities Using Community Coaches
-
批准号:8049206
-
项目类别:
-
资助金额:$52.58万
-
财政年份:2007
-
负责人:Sheldon Greenfield
-
依托单位:
Reducing Diabetes Disparities Using Community Coaches
-
批准号:7588755
-
项目类别:
-
资助金额:$52.58万
-
财政年份:2007
-
负责人:Sheldon Greenfield
-
依托单位:
Collaborative Clinical Culture and Quality of Care
-
批准号:6660410
-
项目类别:
-
资助金额:$12.38万
-
财政年份:2001
-
负责人:Sheldon Greenfield
-
依托单位:
Collaborative Clinical Culture and Quality of Care
-
批准号:6528364
-
项目类别:
-
资助金额:$32.41万
-
财政年份:2001
-
负责人:Sheldon Greenfield
-
依托单位:
PATIENT-BASED QUALITY ASSESSMENT FOR CHRONIC DISEASE
-
批准号:2901410
-
项目类别:
-
资助金额:$27.61万
-
财政年份:1998
-
负责人:Sheldon Greenfield
-
依托单位:
PATIENT BASED QUALITY ASSESSMENT FOR CHRONIC DISEASE
-
批准号:2661450
-
项目类别:
-
资助金额:$30.08万
-
财政年份:1998
-
负责人:Sheldon Greenfield
-
依托单位:
University of California, Irvine Cancer Center Support Grant
-
批准号:8724712
-
项目类别:
-
资助金额:$5.0万
-
财政年份:1997
-
负责人:Sheldon Greenfield
-
依托单位:
University of California, Irvine Cancer Center Support Grant
-
批准号:8709478
-
项目类别:
-
资助金额:$2.5万
-
财政年份:1997
-
负责人:Sheldon Greenfield
-
依托单位:
VARIATIONS IN THE MANAGEMENT AND OUTCOMES OF DIABETES
-
批准号:3372341
-
项目类别:
-
资助金额:$113.55万
-
财政年份:1990
-
负责人:Sheldon Greenfield
-
依托单位:
VARIATIONS IN THE MANAGEMENT AND OUTCOMES OF DIABETES
-
批准号:3372339
-
项目类别:
-
资助金额:$11.23万
-
财政年份:1990
-
负责人:Sheldon Greenfield
-
依托单位:
VARIATIONS IN THE MANAGEMENT AND OUTCOMES OF DIABETES
-
批准号:3372340
-
项目类别:
-
资助金额:$107.52万
-
财政年份:1990
-
负责人:Sheldon Greenfield
-
依托单位:
VARIATIONS IN THE MANAGEMENT AND OUTCOMES OF DIABETES
-
批准号:3372342
-
项目类别:
-
资助金额:$126.27万
-
财政年份:1990
-
负责人:Sheldon Greenfield
-
依托单位:
VARIATIONS IN THE MANAGEMENT AND OUTCOMES OF DIABETES
-
批准号:3372338
-
项目类别:
-
资助金额:$103.26万
-
财政年份:1990
-
负责人:Sheldon Greenfield
-
依托单位:
VARIATIONS IN THE MANAGEMENT AND OUTCOMES OF DIABETES
-
批准号:2235786
-
项目类别:
-
资助金额:$127.66万
-
财政年份:1990
-
负责人:Sheldon Greenfield
-
依托单位:
海外基金