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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 1/2019

01-05-2019 | Care | Editorial

Strengthening Patient-Centered Care in the VHA: A Relational Model of Change

Authors: Jody Hoffer Gittell, MA, PhD, Lauren Hajjar, MA, MPA, PhD

Published in: Journal of General Internal Medicine | Special Issue 1/2019

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Excerpt

Widespread efforts have been dedicated to patient-centered care throughout the USA, in private healthcare systems as well as public healthcare systems like the Veterans Health Administration (VHA).1, 2 Despite its intended promise, its scientific credibility, and its policy relevance, the successful implementation of patient-centered care has been uneven.3 In this article, we shed light on the uneven implementation of patient-centered care in the VHA and elsewhere and describe how the relational model of organizational change can help. …
Footnotes
1
“According to the Greek myth, Sisyphus is condemned to roll a rock up to the top of a mountain, only to have the rock roll back down to the bottom every time he reaches the top. The gods were wise, [philosopher Albert] Camus suggests, in perceiving that an eternity of futile labor is a hideous punishment,” Summary, The Myth of Sisyphus.
 
2
The RC Survey and visual representations of RC data are available through Relational Coordination Analytics (http://​rcanalytic.​com).
 
Literature
1.
Weiner SJ, Schwartz A, Sharma G, et al. Patient-centered decision making and health care outcomes: An observational study. Ann Intern Med. 2013;158:573–9.CrossRefPubMed
2.
Bokhour BG, Fix GM, Mueller NM, Barker AM, Lavela SL, Hill JN, … & Lukas CV. How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Serv Res. 2018;18(1):168.
3.
Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: a systematic review of the literature. Med Care Res Rev. 2013;70:351–79.CrossRefPubMed
4.
Gittell JH, Fairfield K, Bierbaum B, Jackson R, Kelly M, Laskin R, Lipson S, Siliski J, Thornhill T, Zuckerman J. Impact of relational coordination on quality of care, post-operative pain and functioning, and length of stay: A nine hospital study of surgical patients. Med Care. 2000;38(8):807–819.CrossRefPubMed
5.
Gittell JH. High performance healthcare. New York, NY: McGraw Hill;2009.
6.
MacDuffie JP. Human resource bundles and manufacturing performance: Organizational logic and flexible production systems in the world auto industry. ILR Rev. 1995;48(2):197–221.CrossRef
7.
Batt R. Work design, technology and performance in customer service and sales. ILR Rev. 1999;52:539–564.CrossRef
8.
Gittell JH. The Southwest Airlines way: Using the power of relationships to achieve high performance. New York, NY: McGraw-Hill;2003.
9.
Gittell JH. Transforming relationships for high performance: The power of relational coordination. Palo Alto, CA: Stanford University Press;2016.
10.
Leonard C, Lawrence E, McCreight M, Lippmann B, Kelley L, Mayberry A, … Jones J. Implementation and dissemination of a transition of care program for rural veterans: A controlled before and after study. Implement Sci. 2017;12(1):123.CrossRefPubMedPubMedCentral
11.
Valentine M, Nembhard I, & Edmondson A. Measuring teamwork in health care settings: A review of survey instruments. Med Care. 2015;53(4):e16-e30.PubMed
Metadata
Title
Strengthening Patient-Centered Care in the VHA: A Relational Model of Change
Authors
Jody Hoffer Gittell, MA, PhD
Lauren Hajjar, MA, MPA, PhD
Publication date
01-05-2019
Publisher
Springer US
Keyword
Care
Published in
Journal of General Internal Medicine / Issue Special Issue 1/2019
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-019-04996-7

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