Clinicians' panel management self-efficacy to support their patients' smoking cessation and hypertension control needs.
Panel management, a set of tools and processes for proactively caring for patient populations, has potential to reduce morbidity and improve outcomes between office visits. We examined primary care staff's self-efficacy in implementing panel management, its correlates, and an intervention's impact on this self-efficacy. Primary care teams at two Veterans Health Administration (VA) hospitals were assigned to control or intervention conditions. Staff were surveyed at baseline and post-intervention, with a random subset interviewed post-intervention. Panel management self-efficacy was higher among staff participating in the panel management intervention. Self-efficacy was significantly correlated with sufficient training, aspects of team member interaction, and frequency of panel management use. Panel management self-efficacy was modest among primary care staff at two VA hospitals. Team level interventions may improve primary care staff's confidence in practicing panel management, with this greater confidence related to greater team involvement with, and use of panel management.
New York University College of Nursing, 726 Broadway, 10th floor, New York, NY 10003 USA.
Shiela M
SM
Strauss
VA New York Harbor Healthcare System, New York, USA ; Department of Medicine, New York University School of Medicine, New York, USA.
Ashley E
AE
Jensen
VA New York Harbor Healthcare System, New York, USA ; Department of Medicine, New York University School of Medicine, New York, USA.
Katelyn
K
Bennett
VA New York Harbor Healthcare System, New York, USA ; Department of Medicine, New York University School of Medicine, New York, USA.
Nicole
N
Skursky
VA New York Harbor Healthcare System, New York, USA ; Department of Population Health, New York University School of Medicine, New York, USA.
Scott E
SE
Sherman
VA New York Harbor Healthcare System, New York, USA ; Department of Population Health, New York University School of Medicine, New York, USA.
Mark D
MD
Schwartz
Chronic disease management; Panel management; Prevention; Primary care; Self-efficacy