More black box to explore: how quality improvement collaboratives shape practice change.
J Am Board Fam Med
; 25(2): 149-57, 2012.
Article
in En
| MEDLINE
| ID: mdl-22403195
ABSTRACT
BACKGROUND:
Quality improvement collaboratives (QICs) are used extensively to promote quality improvement in health care. Evidence of their effectiveness is limited, prompting calls to "open up the black box" to better understand how and why such collaboratives work.METHODS:
We selected a cohort of 5 primary care practices that participated in a 6-month intervention study aimed at improving colorectal cancer screening rates. Using an immersion/crystallization technique, we analyzed qualitative data that included audio recordings and field notes of QICs and practice-based team meetings.RESULTS:
Three themes emerged from ouranalysis:
(1) practice staff became empowered through and drew on the QICs to advance change efforts in the face of leader/physician resistance; (2) a mix of content and media in the QIC program was important for reaching all participants; (3) resources offered at the QIC did little to spur practice change efforts.CONCLUSION:
QICs offer a potentially powerful way of disseminating health care innovations through enhanced strategies for learning and change. Creating collaborative environments in which diverse participants learn, listen, reflect, and share together can enable them to take back to their own organizations key messages and change strategies that benefit them the most.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Organizational Innovation
/
Patient Care Team
/
Colorectal Neoplasms
/
Mass Screening
/
Cooperative Behavior
/
Practice Management
/
Interdisciplinary Communication
/
Family Practice
/
Quality Improvement
Type of study:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
/
Screening_studies
Limits:
Humans
Language:
En
Journal:
J Am Board Fam Med
Year:
2012
Document type:
Article
Affiliation country:
United States