Perceptions of Health System Orientation

Medical Care Research and Review - Tập 71 Số 6 - Trang 559-579 - 2014
Brooke A. Cunningham1, Jill A. Marsteller2,3, Max J. Romano3, Kathryn A. Carson2,3, Gary Noronha4, Maura McGuire5,3, Airong Yu3, Lisa A. Cooper2,3
1University of Minnesota Medical School, Minneapolis MN, USA
2Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
3Johns Hopkins University School of Medicine, Baltimore, MD USA
4University of Rochester, School of Medicine and Dentistry, Rochester, NY USA.
5Johns Hopkins Community Physicians, Baltimore, MD, USA

Tóm tắt

As part of a pragmatic trial to reduce hypertension disparities, we conducted a baseline organizational assessment to identify aspects of organizational functioning that could affect the success of our interventions. Through qualitative interviewing and the administration of two surveys, we gathered data about health care personnel’s perceptions of their organization’s orientations toward quality, patient centeredness, and cultural competency. We found that personnel perceived strong orientations toward quality and patient centeredness. The prevalence of these attitudes was significantly higher for these areas than for cultural competency and varied by occupational role and race. Larger percentages of survey respondents perceived barriers to addressing disparities than barriers to improving safety and quality. Health care managers and policy makers should consider how we have built strong quality orientations and apply those lessons to cultural competency.

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Medical Care Research and Review

Tập 71 Số 6

559-579

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