This recently published article from researchers at U-Penn spotlights the importance of culture change in PCMH development. From the abstract: “Key factors driving the PCMH transformation process require shifting mental models at the individual level and culture change at the practice level. Transformation is based upon structural and process changes that support orientation of practice mental models towards perceptions of population health, self-assessment, and the development of shared decision-making. Staff buy-in to the new roles and responsibilities driving PCMH transformation was described as central to making sustainable change at the practice level; however, key barriers related to clinician autonomy appeared to interfere with the formation of team-based care.”
The Patient Centered Medical Home: Mental Models and Practice Culture driving the Transformation process
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