Physician Engagement Strategies in Care Coordination: Findings from the Centers for Medicare & Medicaid Services' Health Care Innovation Awards Program.
Health Serv Res
; 52(1): 291-312, 2017 02.
Article
em En
| MEDLINE
| ID: mdl-27910099
ABSTRACT
OBJECTIVE:
To identify roles physicians assumed as part of new health care delivery models and related strategies that facilitated physician engagement across 21 Health Care Innovation Award (HCIA) programs. DATA SOURCES Site-level in-depth interviews, conducted from 2014 to 2015 (N = 672) with program staff, leadership, and partners (including 95 physicians) and direct observations. STUDYDESIGN:
NORC conducted a mixed-method evaluation, including two rounds of qualitative data collected via site visits and telephone interviews. DATA COLLECTION/EXTRACTIONMETHODS:
We used qualitative thematic coding for data from 21 programs actively engaging physicians as part of HCIA interventions. PRINCIPALFINDINGS:
Establishing physician champions and ensuring an innovation-values fit between physicians and programs, including the strategies programs employed, facilitated engagement. Among engagement practices identified in this study, tailoring team working styles to meet physician preferences and conducting physician outreach and education were the most common successful approaches.CONCLUSIONS:
We describe engagement strategies derived from a diverse range of programs. Successful programs considered physicians' values and engagement as components of process and policy, rather than viewing them as exogenous factors affecting innovation adoption. These types of approaches enabled programs to accelerate acceptance of innovations within organizations.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Inovação Organizacional
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Médicos
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Centers for Medicare and Medicaid Services, U.S.
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Continuidade da Assistência ao Paciente
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article