Practice environments and job satisfaction in patient-centered medical homes.

Authors, Primary Alidina,Shehnaz;Rosenthal,Meredith B.;Schneider,Eric C.;Singer,Sara J.;Friedberg,Mark W.
Title Primary Practice environments and job satisfaction in patient-centered medical homes.
Periodical Full Annals of Family Medicine
Pub Year 1969
Volume 12
issue 4
Start Page 331-337
Abstract Purpose: We undertook a study to evaluate the effects of medical home transformation on job satisfaction in the primary care setting. Methods: We collected primary data from 20 primary care practices participating in medical home pilot projects in Rhode Island and Colorado from 2009 to 2011. We surveyed clinicians and staff about the quality of their practice environments (e.g., office chaos, communication, difficulties in providing safe, high-quality care) and job satisfaction at baseline and 30 months, and about stress, burnout, and intention to leave at 30 months. We interviewed practice leaders about the impact of pilot project participation. We assessed longitudinal changes in the practice environment and job satisfaction and, in the final pilot year, examined cross-sectional associations between the practice environment and job satisfaction, stress, burnout, and intention to leave. Results: Between baseline and 30 months, job satisfaction improved in Rhode Island (P =.03) but not in Colorado. For both pilot projects, reported difficulties in providing safe, high-quality care decreased (P <.001), but emphasis on quality and the level of office chaos did not change significantly. In cross-sectional analyses, fewer difficulties in providing safe, high-quality care and more open communication were associated with greater job satisfaction. Greater office chaos and an emphasis on electronic information were associated with greater stress and burnout. Conclusions: Medical home transformations that emphasize quality and open communication while minimizing office chaos may offer the best chances of improving job satisfaction. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract)
Publisher Not Available
Place of Publication Not Available
Author/Address Alidina, Shehnaz: sha248@mail.harvard.edu
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Primary Care Workforce Issues;Outcomes
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No