Appreciative Inquiry for quality improvement in primary care practices.
Qual Manag Health Care
; 20(1): 37-48, 2011.
Article
en En
| MEDLINE
| ID: mdl-21192206
ABSTRACT
PURPOSE:
To test the effect of an Appreciative Inquiry (AI) quality improvement strategy on clinical quality management and practice development outcomes. Appreciative inquiry enables the discovery of shared motivations, envisioning a transformed future, and learning around the implementation of a change process.METHODS:
Thirty diverse primary care practices were randomly assigned to receive an AI-based intervention focused on a practice-chosen topic and on improving preventive service delivery (PSD) rates. Medical-record review assessed change in PSD rates. Ethnographic field notes and observational checklist analysis used editing and immersion/crystallization methods to identify factors affecting intervention implementation and practice development outcomes.RESULTS:
The PSD rates did not change. Field note analysis suggested that the intervention elicited core motivations, facilitated development of a shared vision, defined change objectives, and fostered respectful interactions. Practices most likely to implement the intervention or develop new practice capacities exhibited 1 or more of the following support from key leader(s), a sense of urgency for change, a mission focused on serving patients, health care system and practice flexibility, and a history of constructive practice change.CONCLUSIONS:
An AI approach and enabling practice conditions can lead to intervention implementation and practice development by connecting individual and practice strengths and motivations to the change objective.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
Problema de salud:
11_governance_arrangements
Asunto principal:
Atención Primaria de Salud
/
Prevención Primaria
/
Mejoramiento de la Calidad
Tipo de estudio:
Clinical_trials
/
Prognostic_studies
/
Qualitative_research
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Qual Manag Health Care
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Año:
2011
Tipo del documento:
Article
País de afiliación:
Estados Unidos