Culture: The Unexpected Key to Exemplary Primary Care

Sullivan, Erin E.; Arabadjis, Sophia D.; Alpert, Jessica L.; Ellner, Andrew

doi:10.33423/jop.v18i5.277

Cited by 1 publication

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“…This analysis of data and HIT use in primary care is a thematic cross-case analysis sourced from a larger qualitative data set. For this exploratory research, the research team's methods were anchored in case study methodology (Bonoma, 1985; Yin, 1994; Creswell et al , 2004; Creswell and Clark, 2007; Edmondson and Mcmanus, 2007; Sullivan et al , 2018). Borrowing from grounded theory approaches (Corbin and Strauss, 2008), the team sought to inductively develop generalizable propositions that would create new theory or refine or extend existing theories related to effective integration and use of HIT systems in primary care delivery.…”

Section: Methodsmentioning

confidence: 99%

Data and HIT systems in primary care settings: an analysis of perceptions and use

Arabadjis

Sullivan

2020

JHOM

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PurposeElectronic Health Records (EHRs) and other Health Information Technologies (HITs) pose significant challenges for clinicians, administrators and managers in the field of primary care. While there is an abundance of literature on the challenges of HIT systems in primary care, there are also practices where HITs are well-integrated and useful for care delivery. This study aims to (1) understand how exemplary primary care practices conceptualized data and HIT system use in their care delivery and (2) describe components that support and promote data and HIT system use in care delivery.Design/methodology/approachThis paper is a sub-analysis of a larger qualitative data set on exemplary primary care in which data was collected using in-depth interviews, observations, field notes and primary source documents from week-long site visits at each organization. Using a combination of qualitative analysis methods including elements of thematic analysis, discourse analysis, and qualitative comparison analysis, we examined HIT-related data across six exemplary primary care organizations.FindingsThree key components were identified that underlie engagement with data and HIT systems: data audience identification, defined data purpose and structures for participation in both data design and maintenance.Originality/valueWithin the context of primary care, these findings have implications for effective integration of HIT systems into primary care delivery.

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