Cultural consensus analysis as a tool for clinic improvements.
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.
Smith
C Scott
CS
Northwest Regional Faculty Development Center, VA Medical Center, Boise, ID 83702, USA. scott.smith2@med.va.gov
Morris
Magdalena
M
Hill
William
W
Francovich
Chris
C
McMullin
Juliet
J
Chavez
Leo
L
Rhoads
Caroline
C
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