title: Cultural consensus analysis as a tool for clinic improvements.
abstract: Some problems in clinic function recur because of unexpected value differences between patients, faculty, and residents. Cultural consensus analysis (CCA) is a method used by anthropologists to identify groups with shared values. After conducting an ethnographic study and using focus groups, we developed and validated a CCA tool for use in clinics. Using this instrument, we identified distinct groups with 6 important value differences between those groups. An analysis of these value differences suggested specific and pragmatic interventions to improve clinic functioning. The instrument has also performed well in preliminary tests at another clinic.
authors.affiliation: Northwest Regional Faculty Development Center, VA Medical Center, Boise, ID 83702, USA. scott.smith2@med.va.gov
authors.forename: C Scott
authors.initials: CS
authors.lastname: Smith
authors.forename: Magdalena
authors.initials: M
authors.lastname: Morris
authors.forename: William
authors.initials: W
authors.lastname: Hill
authors.forename: Chris
authors.initials: C
authors.lastname: Francovich
authors.forename: Juliet
authors.initials: J
authors.lastname: McMullin
authors.forename: Leo
authors.initials: L
authors.lastname: Chavez
authors.forename: Caroline
authors.initials: C
authors.lastname: Rhoads
mesh_terms: D000884:Anthropology, Cultural; D032921:Consensus; D005180:Faculty, Medical; D017144:Focus Groups; D007061:Idaho; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008962:Models, Theoretical; D015279:Organizational Culture; D010361:Patients; D012945:Social Values