“In Principle We Have Agreement, But in Practice It Is a Bit More Difficult”: Obtaining Organizational Buy-In to Patient-Centered Medical Home Transformation

Applequist, Janelle; Miller-Day, Michelle; Cronholm, Peter F.; Gabbay, Robert A.

doi:10.1177/1049732316680601

Cited by 11 publications

(9 citation statements)

References 49 publications

(84 reference statements)

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“…Several studies of patient-centeredness describe a gap between the policy goals and practice, suggesting that the policy principle of patient-centeredness is difficult to implement in practice (Applequist et al, 2017;Franklin et al, 2019: Gardner & Cribb, 2016Hsieh et al, 2016;Lord & Gale, 2014). A number of researchers point to the multiple meanings and lack of a clear, common definition of patient-centeredness as a factor underlying implementation problems (Eklund et al, 2019;Langberg et al, 2019;Lord & Gale, 2014).…”

Section: Introductionmentioning

confidence: 99%

Minding the Gap Between the Policy and Practice of Patient-Centeredness: Cocreating a Model for Tensional Dialogue in the “Active Patient Support” Program

Phillips

Scheffmann-Petersen

2020

Qual Health Res

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Several studies identify obstacles to patient-centered care that can be eradicated by bridging the gap between policy goals and practice. In this article, “patient-centeredness” is theorized as an unstable entity riddled with intrinsic, ineradicable tensions. The purpose of the article is to propose a reflexive approach to the tensions as the most appropriate strategy for narrowing the gap between policy and practice. The reflexive approach is illustrated in an account of an action research project on a Danish, patient-centered initiative, “Active Patient Support.” The account focuses on the development of a dialogic communication model through collaborative, reflexive analyses of the tensions in the enactment of “patient-centeredness” in dialogue between health care practitioners and citizens—in particular, the tension between empowerment and self-discipline. Finally, the conceptual expansion of one of the dimensions of patient-centeredness, “health-practitioner-as-person,” is discussed as a platform for reflexivity, and the limitations of reflexivity are addressed.

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Section: Introductionmentioning

confidence: 99%

Minding the Gap Between the Policy and Practice of Patient-Centeredness: Cocreating a Model for Tensional Dialogue in the “Active Patient Support” Program

Phillips

Scheffmann-Petersen

2020

Qual Health Res

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“…When implementing organizational changes in healthcare, promotion of a "shared vision" and buy-in is important [17]. This was supported in an assessment of the Norwegian THN program, where the researchers found that the adoption and uptake of the THN intervention was biggest where organizational (staff, leader and clients) buy-in was most prominent [13].…”

Section: Discussionmentioning

confidence: 99%

Staff preferences towards electronic data collection from a national take-home naloxone program: a cross-sectional study

Ericson

Eide

Lobmaier

et al. 2022

Subst Abuse Treat Prev Policy

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Background During the scaling-up of a national Norwegian take-home naloxone (THN) program, data collection methods shifted from paper-based to electronic. The aim of this study was to explore staff preferences towards the shift in data collection. Methods In January–February 2020, a survey was sent out via email to personnel involved with the THN program (n = 200). The survey included 17 questions, and covered staff demographics, experiences distributing THN, preferences towards data collection (both paper and electronically), and an open response section. Descriptive statistics were performed for the survey results. The open response section was recorded from each questionnaire and was coded into major themes by the authors. Results In total, 122 staff completed the survey. Of these, 62% had experience with both electronic and paper-based forms, and there was a near unanimous preference towards electronic data collection over paper-based forms. From the free-text responses, staff found the electronic form to be a useful tool for conversation and overdose prevention education, and that the electronic form was easier to manage than the paper forms. Conclusion The shift towards electronic data collection was necessary for the feasibility of the Norwegian national THN program. This study found that staff not only tolerated the shift, but in most cases preferred this organizational change.

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“…When implementing organizational changes in healthcare, promotion of a "shared vision" and buy-in is important (14). This was supported in an assessment of the Norwegian THN program, where the researchers found that the adoption and uptake of the THN intervention was biggest where organizational (staff, leader and clients) buy-in was most prominent (10).…”

Section: Discussionmentioning

confidence: 96%

Staff Attitudes Towards Electronic Data Collection for a National Take-Home Naloxone Program

Ericson

Eide

Lobmaier

et al. 2021

Preprint

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Background During the scaling-up of a national Norwegian take-home naloxone (THN) program, data collection methods shifted from paper-based to electronic. The aim of this study was to explore staff attitudes and preferences towards the shift in data collection. Methods In January-February 2020, a survey was sent out via email to personnel involved with the THN program (n=200). The survey included 17 questions, and covered staff demographics, experiences distributing THN, attitudes towards data collection (both paper and electronically), and an open response section. Descriptive statistics were performed for the survey results. The open response section was recorded from each questionnaire and was coded into major themes by the authors. Main findings In total, 122 staff completed the survey. Of these, 62% had experience with both electronic and paper-based forms, and there was a near unanimous preference towards electronic data collection over paper-based forms. From the free-text responses, staff found the electronic form to be a useful tool for conversation and overdose prevention education, and that the electronic form was easier to manage than the paper forms. Conclusion The shift towards electronic data collection was necessary for the feasibility of the Norwegian national THN program. This study found that staff not only tolerated the shift, but in most cases preferred this organizational change.

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“In Principle We Have Agreement, But in Practice It Is a Bit More Difficult”: Obtaining Organizational Buy-In to Patient-Centered Medical Home Transformation

Cited by 11 publications

References 49 publications

Minding the Gap Between the Policy and Practice of Patient-Centeredness: Cocreating a Model for Tensional Dialogue in the “Active Patient Support” Program

Minding the Gap Between the Policy and Practice of Patient-Centeredness: Cocreating a Model for Tensional Dialogue in the “Active Patient Support” Program

Staff preferences towards electronic data collection from a national take-home naloxone program: a cross-sectional study

Staff Attitudes Towards Electronic Data Collection for a National Take-Home Naloxone Program

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