Learning and Relationships in Primary Care

NCT00657696 | Completed

• 1 other identifier: IIR 06-063
• Study Type: observational
• Target: 7,905
• Locations: 1 country
• Sites: 2

Brief Summary

Within every primary care clinic is a small team of people who provide care to a group of patients who consider this clinic to be their medical home. Rapid advances in medical knowledge and technology require that these teams constantly adapt so that they can provide the best care to their patients. The goal of this study is to examine how people in these primary care teams learn and relate to each other as they change an adapt. This will be done by observing and interviewing people who work in these teams and by giving them and their patients a survey to fill out. We will then look at the performance of these clinics to see if it is related to how they learn and the quality of their relationships. Our ultimate goal is to design effective interventions that will improve the quality and outcomes of care received by Veterans in primary care outpatient clinics within the VHA.

Conditions

Chronic Disease

Keywords

primary health care; organizations; learning; quality of health care

Outcome Measures

Primary Outcomes (1)

• Quality of care as measured by the External Performance Review Process(EPRP)

  3 years

Study Arms (2)

Group 1

Physicians and staff in VA non-contract primary care outpatient clinics and patients seen in last 12 months in the same clinics

Group 2

Patients seen in last 12 months in Group 1 clinics

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

clinicians and staff in VA primary care outpatient clinics in VISN 17

You may qualify if:

• Clinician or clinical staff in a non-contract VA primary care outpatient clinic.
• Patient seen in a non-contract VA primary care outpatient clinic in the prior 12 months.

You may not qualify if:

• None

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (2)

South Texas Health Care System, San Antonio, TX

San Antonio, Texas, 78229, United States

Location

Central Texas Veterans Health Care System, Temple, TX

Temple, Texas, 76504, United States

Location

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Jacqueline A Pugh, MD BA

  South Texas Health Care System, San Antonio, TX

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 2, 2008
• First Posted: April 14, 2008
• Study Start: January 28, 2009
• Primary Completion: March 30, 2012
• Study Completion: March 30, 2012
• Last Updated: June 6, 2017

Record last verified: 2017-06

Locations

US (2)