title: The relationship between organizational culture and practice systems in primary care.
abstract: The patient-centered medical home is an approach to comprehensive primary care relying on well-developed systems. Research has shown that for practices to meet patient-centered medical home requirements, care models may need to be redesigned. However, there is a dearth of information about what factors are important to achieve this goal. Self-report surveys from 293 staff across 42 practices in Minnesota showed variation in use of systems and dimensions of organizational culture. Organizational cultures that emphasize collegiality and quality but not autonomy were significantly related to the use of clinician reminders, clinical quality evaluation and improvement, and clinical information systems.
authors.affiliation: DonnaPDugan@gmail.com
authors.forename: Donna Pillittere
authors.initials: DP
authors.lastname: Dugan
authors.forename: Stephen S
authors.initials: SS
authors.lastname: Mick
authors.forename: Sarah Hudson
authors.initials: SH
authors.lastname: Scholle
authors.forename: Ernie F
authors.initials: EF
authors.lastname: Steidle
authors.forename: Debora Goetz
authors.initials: DG
authors.lastname: Goldberg
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D015279:Organizational Culture; D018802:Patient-Centered Care; D011216:Practice Management, Medical; D011320:Primary Health Care / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D014481:United States