Clinic Workload, the Quality of Staff Relationships and Diabetes Management in Community Health Centers Catering to Latino and Chinese Patients.

We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients wit...

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Publicado en:Journal of Community Health Vol. 42; no. 3; pp. 481 - 489
Autores principales: Vargas Bustamante, Arturo, Martinez, Ana, Chen, Xiao, Rodriguez, Hector
Formato: Artículo
Publicado: Springer Nature Jun2017
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2017
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        10.1007/s10900-016-0280-9
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        atl: Clinic Workload, the Quality of Staff Relationships and Diabetes Management in Community Health Centers Catering to Latino and Chinese Patients.
      aug:
        au:
          Vargas Bustamante, Arturo
          Martinez, Ana
          Chen, Xiao
          Rodriguez, Hector
        affil:
          Department of Health Policy and Management , UCLA Fielding School of Public Health , 650 Charles E. Young Drive South Room 31-299C Los Angeles 90095 USA
          UCLA Center for Health Policy Research , UCLA Fielding School of Public Health , Los Angeles USA
          Department of Health Policy and Management , UC-Berkeley , Berkeley USA
      su:
        Community health services
        Hispanic Americans
        Employees' workload
        Diabetes prevention
        Chinese people
        Regression analysis
        Surveys
        Safety-net health care providers
      sug:
        subj:
          Community health services
          Hispanic Americans
          Employees' workload
          Community health centres
          All Other Outpatient Care Centers
          Residential Mental Health and Substance Abuse Facilities
          Other Individual and Family Services
          Other local, municipal and regional public administration
          Diabetes prevention
          Chinese people
          Regression analysis
          Surveys
          Safety-net health care providers
      keyword:
        Chinese Americans
        Diabetes care
        Latinos
        Safety net providers
        Workplace climate
        Chinese Americans
        Diabetes care
        Latinos
        Safety net providers
        Workplace climate
      ab: We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients with type 2 diabetes and workplace climate surveys of clinicians and staff from CHCs were included in an analytic sample. Comparisons of means analyses examine patient and provider characteristics. The associations of QSR, MCW and the diabetes care management were examined using regression analyses. Diabetes care process were more consistently provided in CHCs with high quality staff relations and more manageable clinic workload, but HbA1c, LDL cholesterol, and blood pressure outcomes were no different between clinics with high vs. low QSR and MCW. Focusing efforts on improvements in practice climate may lead to more consistent provision of important processes of diabetes care for these patients.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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