Organizational culture associated with provider satisfaction

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Publication Type pre-print
School or College School of Medicine
Department <blank>
Creator Farrell, Timothy W.
Other Author Scammon, Debra L.; Tabler, Jennifer; Brunisholz, Kimberly; Gren, Lisa H.; Kim, Jaewban; Tomoaia-Cotisel, Andrada; Day, Julie; Waitzman, Norman J.; Magill, Michael K.
Title Organizational culture associated with provider satisfaction
Date 2014-01-01
Description Background: Organizational culture is key to the successful implementation of major improvement strategies. Transformation to a patient-centered medical home (PCHM) is such an improvement strategy, requiring a shift from provider-centric care to team-based care. Because this shift may impact provider satisfaction, it is important to understand the relationship between provider satisfaction and organizational culture, specifically in the context of practices that have transformed to a PCMH model. Methods: This was a cross-sectional study of surveys conducted in 2011 among providers and staff in 10 primary care clinics implementing their version of a PCMH: Care by Design. Measures included the Organizational Culture Assessment Instrument and the American Medical Group Association provider satisfaction survey. Results: Providers were most satisfied with quality of care (mean, 4.14; scale of 1-5) and interactions with patients (mean, 4.12) and were least satisfied with time spent working (mean, 3.47), paperwork (mean, 3.45), and compensation (mean, 3.35). Culture profiles differed across clinics, with family/clan and hierarchical cultures the most common. Significant correlations (P < .05) between provider satisfaction and clinic culture archetypes included family/clan culture negatively correlated with administrative work; entrepreneurial culture positively correlated with the Time Spent Working dimension; market/rational culture positively correlated with how practices were facing economic and strategic challenges; and hierarchical culture negatively correlated with the Relationships with Staff and Resource dimensions. Conclusions: Provider satisfaction is an important metric for assessing experiences with features of a PCMH model. Identification of clinic-specific culture archetypes and archetype associations with provider satisfaction can help inform practice redesign. Attention to effective methods for changing organizational culture is recommended.
Type Text
Publisher Massachusetts Medical Society
Volume 27
Issue 2
First Page 219
Last Page 228
Language eng
Bibliographic Citation Scammon, D. L., Tabler, J., Brunisholz, K., Gren, L. H., Kim, J., Tomoaia-Cotisel, A., Day, J., Farrell, T. W., Waitzman, N. J., & Magill, M. K. (2014). Organizational culture associated with provider satisfaction. Journal of the American Board of Family Medicine, 27(2), 219-28.
Rights Management (c) Massachusetts Medical Society
Format Medium application/pdf
Format Extent 374,537 bytes
Identifier uspace,18603
ARK ark:/87278/s6gj2t2z
Setname ir_uspace
Date Created 2014-05-06
Date Modified 2021-05-06
ID 712512
Reference URL https://collections.lib.utah.edu/ark:/87278/s6gj2t2z
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