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|Issue 47||February 2011|
A Review of the Evidence: The Effect of Healthcare Providers' Working Conditions on Patient Care
A large body of evidence shows clear linkages between workplace conditions and employee satisfaction. In the healthcare industry, increasing interest in understanding these linkages stems from the idea that healthcare providers' working environments also affect important patient outcomes, including safety, quality of care, and satisfaction. Moreover, meeting objectives of current healthcare reform to increase quality of care includes increasing the availability of primary care providers. Results from this review may inform policymakers as they endeavor to implement aspects of healthcare reform related to increasing the supply of primary care providers and improving patient outcomes.
Recently, investigators at the VA Evidence-Based Synthesis Program site in Minneapolis, MN conducted a systematic review of the literature to examine the role of primary care providers' workplace conditions in influencing patient outcomes, with a focus on patient satisfaction, safety, and quality of care. Building on a 2003 report from the Agency for Healthcare Research and Quality, the investigators reviewed the literature from 2000 through September 2011 to help answer the following three key questions.
Using data from 3 randomized clinical trials, 7 longitudinal studies, and 17 cross-sectional studies that met this review's inclusion criteria, the evidence suggests:
Using data from 9 studies on organizational culture and/or team-based care that met this review's inclusion criteria, the evidence suggests:
Using data from studies used to answer the first two questions in this review, in addition to systematic reviews pertaining to provider outcomes in primary care, the evidence suggests:
This report is a product of the HSR&D Evidence-based Synthesis Program (ESP), which was established to provide timely and accurate synthesis of targeted healthcare topics of particular importance to VA managers and policymakers -- and to disseminate these reports throughout VA.
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This Management eBrief is a product of the HSR&D Evidence Synthesis Program (ESP). ESP is currently soliciting review topics from the broader VA community. Nominations will be accepted electronically using the online Topic Submission Form. If your topic is selected for a synthesis, you will be contacted by an ESP Center to refine the questions and determine a timeline for the report.
This Management e-Brief is provided to inform you about recent HSR&D findings that may be of interest. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. If you have any questions or comments about this Brief, please email CIDER. The Center for Information Dissemination and Education Resources (CIDER) is a VA HSR&D Resource Center charged with disseminating important HSR&D findings and information to policy makers, managers, clinicians, and researchers working to improve the health and care of Veterans.
This report is a product of the HSR&D Evidence-Based Synthesis Program (ESP), which was established to provide timely and accurate synthesis of targeted healthcare topics of particular importance to VA managers and policymakers - and to disseminate these reports throughout VA.
See the full reports online.