title: Effect of Organizational Culture on Patient Access, Care Continuity, and Experience of Primary Care.
abstract: This study examined relationships between organizational culture and patient-centered outcomes in primary care. Generalized least squares regression was used to analyze patient access, care continuity, and reported experiences of care among 357 physicians in 41 primary care departments. Compared with a "Group-oriented" culture, a "Rational" culture type was associated with longer appointment wait times, and both "Hierarchical" and "Developmental" culture types were associated with less care continuity, but better patient experiences with care. Understanding the unique effects of organizational culture can enhance the delivery of more patient-centered care.
authors.affiliation: Palo Alto Medical Foundation Research Institute, Palo Alto, California.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Hung
authors.forename: Sukyung
authors.initials: S
authors.lastname: Chung
authors.forename: Meghan
authors.initials: M
authors.lastname: Martinez
authors.forename: Ming
authors.initials: M
authors.lastname: Tai-Seale
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003266:Continuity of Patient Care; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011320:Primary Health Care; D012044:Regression Analysis; D055815:Young Adult