This article presents a comprehensive synthesis and quantitative review of studies examining relationships between team design characteristics performance. Across 398 primary studies, the present study meta-analytically investigated effects composition, task design, leadership on The further investigates how these differ according to industry context within which is embedded (high technology, manufacturing, service, or student). Overall, this emphasizes importance continued inquiries...

We use a convergent parallel mixed methods approach to explore barriers the successful implementation of team-based empowerment initiative within Veterans Health Administration. Although previous research has suggested that leaders often actively obstruct initiatives, little is known about reasons behind and effects such hindering. Using longitudinal quasi-experimental design, we support hypothesis higher-status physician are less than lower-status nonphysician in implementing empowerment....

Patient education materials can provide important information related to osteoporosis prevention and treatment. However, available fail follow best-practice guidelines for patient education.To develop an educational brochure on bone health adults aged 50 years older using mixed-method, semistructured interviews.This project consisted of 3 phases. In Phase 1, we developed written content that included about osteoporosis. Additionally, designed 2 graphic-rich brochures, Brochure A...

Abstract Background Learning healthcare systems have invested heavily in training primary care staff to provide using patient-centered medical home models, but less is known about how effectively lead such teams deliver high quality care. Research needed better understand which leadership skills are most utilized or need of development through additional training. Method Semi-structured telephone interviews with leaders familiar Patient-Aligned Care Teams (PACT) implementation the U.S....

Objectives. This article reports on the gendered experience of Parkinson's disease (PD). Data derived from 15 months ethnographic study among community-dwelling older adults living with PD in eastern Iowa. Methods. The utilized several methods: participant observation at support group meetings, illness narrative interviews sufferers, and a questionnaire. Results. A total 171 sufferers (106 men, 65 women) enrolled study. Illness narratives revealed gender differences impact specific symptoms...

Abstract Background and Objectives As the proportion of U.S. population over 65 living with complex chronic conditions grows, understanding how to strengthen implementation age-sensitive primary care models for older adults, such as Veterans Health Administration’s Geriatric Patient-Aligned Care Teams (GeriPACT), is critical. However, little known about which strategies can best help mitigate barriers adopting these models. We aimed identify GeriPACT address using Consolidated Framework...

Although the discipline of anthropology has much to contribute understanding nature and experience aging, it is a relative latecomer gerontology. After briefly discussing why this case, authors discuss contributions two anthropologists who brought substantive anthropological voice gerontological discussion aging. Examining “ancestral roots” we spotlight intellectual heritage Margaret Clark, arguably “mother” subfield, that Sharon Kaufman, her student, colleague, pioneer in own right. Clark...

<h3>Background:</h3> Here, we describe the implementation of a specialty primary care medical home (PCMH) model called Geriatric Patient-Aligned Care Teams (GeriPACT) in Veterans9 Health Administration (VA) that is focused on serving older complex patients. In particular, our aims this article are to how GeriPACT was developed and implemented VA sites, provide closer look at functions by presenting case study, highlight data showing national variation staffing models PCMH practices....

International implementation of the patient‐centered medical home (PCMH) model for delivering primary care has dramatically increased in last decade. A majority research on PCMH's impact emphasized provided by clinically trained staff. In this article, we report our ethnographic analysis data collected from Department Veterans Affairs staff implementing PACT, VA version PCMH. Teams were to use within‐team delegation, largely accomplished through attention clinical licensure, differentiate...

Purpose: To explore the nature of men's experiences osteoporosis by developing an understanding explanatory models. Design and Methods: This descriptive study invited community-residing male patients aged 50+ to participate in interviews about osteoporosis. Participants were recruited from a hospital-affiliated bone clinic. Men completed questionnaire on demographic, medication, fracture-related information, statistics calculated using Statistical Package for Social Sciences. Interviews...

In this paper we present results of a mixed methods study conducted to identify barriers team function among staff implementing patient aligned care teams – the Department Veterans Affairs' centered medical home (PCMH) model. Using convergent design, administered standardized survey measure (Team and Individual Role Perception Survey) assess work role challenge engagement; discussion groups gather context pertaining change. We found that primary providers is highly challenging did not become...

Abstract Purpose Growing numbers of older adults need home health care, yhese services may be more difficult to access for rural Veterans, who represent one‐third Veterans Health Administration (VA) enrollees. Our objective was examine whether use differs within VA based on rurality. Methods We examined national administrative data 2019–2021 (January 1, 2019 December 31, 2021) among ages ≥65 years. Using descriptive and multivariable analyses, we assessed versus urban differed in (1) the...

To determine patients' preferences for, and understanding of, FRAX® fracture risk conveyed through illustrations.Drawing on examples from published studies, four illustrations of were designed tested for patient preference, ease understanding, perceived risk. We enrolled a convenience sample adults aged 50 older at two medical clinics located in the Midwestern Southern United States. In-person structured interviews conducted to elicit ranking each illustration.Most subjects (n = 142) female...

OBJECTIVE: The experiences of RNs and licensed practical nurses (LPNs) implementing a patient-centered medical home (PCMH) in the Department Veterans Affairs (VA) primary care clinics were examined to understand model implications for nursing practice professional identity. BACKGROUND: National implementation PCMH model, called patient-aligned teams (PACTs) VA, emphasizes areas expertise, yet little is known about effect homes on day-to-day work nurses. METHODS: As part formative evaluation...

Background: There is clear evidence that men suffer from osteoporosis (OP) in increasing numbers, but commonly remain underdiagnosed, undertreated and experience poorer outcomes than do women. The widespread sociocultural association of OP with postmenopausal women reflects their greater risk for developing the disorder, sexing as a women's disease disadvantages at-risk men. Methods: This paper reports on qualitative data gathered 23 community-residing who have an diagnosis. Results:...

Research evaluating the effectiveness, function, and implementation of patient-centered medical homes (PCMHs) has found major socioprofessional transformations contributions primary care physicians and, to a lesser degree, nurses. Our longitudinal ethnographic research with teams implementing PCMH in Veterans Health Administration (VHA) identifies important but largely underutilized clerks outcomes. Although relationship high-performing clerical staff patient satisfaction is widely...

The disciplinary contribution of anthropologists employed outside traditional anthropology departments has been a topic discussion and debate in the field for nearly century. Alongside industry, nongovernmental, nonprofit career paths, an increasing number have developed productive research careers academic departments. United States Department Veterans Affairs (VA), which provides health care services to more than 9 million military veterans annually, is one federal employer that become...

To use a mixed-methods approach to develop letter that can be used notify patients of their bone mineral density (BMD) results by mail may activate in bone-related health care.A multidisciplinary team developed three versions for reporting BMD patients. Trained interviewers presented these letters random order convenience sample adults, aged 50 years and older, at two different care systems. We conducted structured interviews examine the respondents' preferences comprehension among various...