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dc.creatorLeykum, Luci K.en_US
dc.creatorPalmer, Rayen_US
dc.creatorLanham, Hollyen_US
dc.creatorJordan, Michelleen_US
dc.creatorMcDaniel, Reuben R.en_US
dc.creatorNoel, Polly H.en_US
dc.creatorParchman, Michaelen_US
dc.date.accessioned2016-10-28T19:53:48Z
dc.date.available2016-10-28T19:53:48Z
dc.date.issued2011-02en_US
dc.identifierdoi:10.15781/T20C4SN5T
dc.identifier.citationLeykum, Luci K., Ray Palmer, Holly Lanham, Michelle Jordan, Reuben R. McDaniel, Polly H. Noël, and Michael Parchman. "Reciprocal learning and chronic care model implementation in primary care: results from a new scale of learning in primary care." BMC health services research, Vol. 11, No. 1 (Feb., 2011): 44.en_US
dc.identifier.issn1472-6963en_US
dc.identifier.urihttp://hdl.handle.net/2152/43362
dc.description.abstractEfforts to improve the care of patients with chronic disease in primary care settings have been mixed. Application of a complex adaptive systems framework suggests that this may be because implementation efforts often focus on education or decision support of individual providers, and not on the dynamic system as a whole. We believe that learning among clinic group members is a particularly important attribute of a primary care clinic that has not yet been well-studied in the health care literature, but may be related to the ability of primary care practices to improve the care they deliver. To better understand learning in primary care settings by developing a scale of learning in primary care clinics based on the literature related to learning across disciplines, and to examine the association between scale responses and chronic care model implementation as measured by the Assessment of Chronic Illness Care (ACIC) scale. Methods: Development of a scale of learning in primary care setting and administration of the learning and ACIC scales to primary care clinic members as part of the baseline assessment in the ABC Intervention Study. All clinic clinicians and staff in forty small primary care clinics in South Texas participated in the survey. Results: We developed a twenty-two item learning scale, and identified a five-item subscale measuring the construct of reciprocal learning (Cronbach alpha 0.79). Reciprocal learning was significantly associated with ACIC total and sub-scale scores, even after adjustment for clustering effects. Conclusions: Reciprocal learning appears to be an important attribute of learning in primary care clinics, and its presence relates to the degree of chronic care model implementation. Interventions to improve reciprocal learning among clinic members may lead to improved care of patients with chronic disease and may be relevant to improving overall clinic performance.en_US
dc.description.sponsorshipNational Institute of Health (NIDDK) R18DK075692en_US
dc.description.sponsorshipDepartment of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Serviceen_US
dc.description.sponsorshipSouth Texas Veterans Health Care Systemen_US
dc.description.sponsorshipIC2 Institute of the University of Texas at Austinen_US
dc.language.isoEnglishen_US
dc.relation.ispartofen_US
dc.rightsAdministrative deposit of works to Texas ScholarWorks: This works author(s) is or was a University faculty member, student or staff member; this article is already available through open access or the publisher allows a PDF version of the article to be freely posted online. The library makes the deposit as a matter of fair use (for scholarly, educational, and research purposes), and to preserve the work and further secure public access to the works of the University.en_US
dc.subjectdecision-support-systemen_US
dc.subjectchronic illness careen_US
dc.subjectclinical-practiceen_US
dc.subjecthealth-careen_US
dc.subjectmanagementen_US
dc.subjectcomplexityen_US
dc.subjectorganizationsen_US
dc.subjectimprovementen_US
dc.subjectguidelinesen_US
dc.subjectdeliveryen_US
dc.subjecthealth care sciences & servicesen_US
dc.titleReciprocal Learning and Chronic Care Model Implementation in Primary Care: Results from a New Scale of Learning in Primary Careen_US
dc.typeArticleen_US
dc.description.departmentBusiness Administrationen_US
dc.rights.restrictionOpenen_US
dc.identifier.doi10.1186/1472-6963-11-44en_US
dc.contributor.utaustinauthorLanham, Hollyen_US
dc.contributor.utaustinauthorMcDaniel, Reuben R.en_US
dc.relation.ispartofserialBMC Health Services Researchen_US


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