Organizational characteristics associated with sustained participation in internal quality improvement: Findings from two waves of a national sample of physician practices in the United States

Vanessa B. Hurley, Amanda L. Brewster, Matthew J. DePuccio, Dorothy Y. Hung, A. James O'Malley and Karen E. Schifferdecker

Social Science & Medicine, 2025, vol. 369, issue C

Abstract: Engagement in internal quality improvement (QI) within physician practices is a key avenue by which to deliver evidence-based and patient-centered care, but it can be difficult to sustain such engagement. Consequently, research is needed that identifies organizational factors associated with sustained internal QI. We utilized two waves of a national survey of physician practices to explore whether organizational innovation characteristics including organizational culture, health information technology (HIT) capacity, and Accountable Care Organization (ACO) affiliation distinguish physician practices that sustain their engagement in internal QI from those that do not.

Keywords: Quality improvement; Physician practices; Organizational culture; Accountable care organizations; Health information technology (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1016/j.socscimed.2025.117826

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