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Related Experiment Video

Updated: Mar 29, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Trust and Reflection in Primary Care Practice Redesign.

Holly Jordan Lanham^1,2,3, Raymond F Palmer⁴, Luci K Leykum^2,3,5

¹Department of Medicine/Hospital Medicine & Department of Family and Community Medicine, The University of Texas Health Science Center, San Antonio, TX.

Health Services Research

|November 28, 2015

Summary

This summary is machine-generated.

Trust and reflection are key to successful practice relationships, sensemaking, and learning during patient-centered medical home (PCMH) transitions. High trust and reflection enhance these associations, while low levels weaken them.

Keywords:

Practice redesign learning reflection relationships sensemaking

Related Experiment Videos

Last Updated: Mar 29, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Primary care practice transformation
Organizational learning and sensemaking
Healthcare quality improvement

Background:

The transition to patient-centered medical homes (PCMH) involves significant practice redesign.
Understanding the factors influencing successful implementation is crucial for effective healthcare delivery.
Conceptual models can guide the analysis of complex organizational changes.

Purpose of the Study:

To test a conceptual model linking relationships, reflection, sensemaking, and learning in primary care practices.
To examine the role of trust and reflection in moderating these associations during PCMH transitions.

Main Methods:

Cross-sectional survey of 396 clinicians and staff from 36 US family medicine practices.
Measurement of practice relationships (trust, diversity, mindfulness, etc.) and organizational attributes (reflection, sensemaking, learning).
Multigroup path analysis using Bayesian estimation.

Main Results:

Trust and reflection were significant predictors of practice relationships, sensemaking, and learning.
Strongest associations between relationships, sensemaking, and learning occurred with high trust and reflection.
Weakest associations were observed under conditions of low trust and reflection.

Conclusions:

Trust and reflection are critical moderators in the process of practice redesign.
These factors significantly influence the ability of practices to foster relationships, sensemaking, and learning.
Findings support the importance of cultivating trust and reflective practices during PCMH implementation.