Abstract
Object: To discover how attempts to increase the delivery of preventive services affect
clinician satisfaction.
Methods: The IMPROVE project was a randomized clinical trial conducted in 44 clinics
in and around Minneapolis–St. Paul, Minnesota. Personnel were trained in continuous
quality improvement techniques to organize preventive services delivery systems. Satisfaction
with delivery of these services and with the sponsoring organizations was measured
before the intervention (Time 1), at the end of the intervention (Time 2), and 1 year
post-intervention (Time 3).
Results: At no time was the intervention associated with a change in the respondents
satisfaction with their places of work or with their job roles. Satisfaction with
preventive services delivery increased from Time 1 to Time 3 among intervention-clinic
respondents. Satisfaction with the IMPROVE project and the efforts of the two managed
care organizations to help the clinics deliver preventive services peaked at Time
2 and declined toward baseline at Time 3. Satisfaction with preventive services delivery
tended to increase more in the 13 intervention clinics that implemented a preventive
services delivery system than in the nine intervention clinics that did not implement
a preventive services delivery system (p = 0.15).
Conclusions: Planned organizational change to create systems for preventive services
delivery can be associated with increased clinician satisfaction with the way these
services are delivered. However, increased satisfaction with preventive services does
not necessarily indicate that service delivery rates have increased.
Keywords
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References
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Solberg LI, Kottke TE, Brekke ML, et al. Effects of a continuous quality improvement intervention to create systems for the delivery of clinical preventive services. Eff Clin Pract, accepted for publication.
- Job satisfaction among substance abuse prevention personnel.J Addict Dis. 1992; 11: 81-90
Article info
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Copyright
© 2000 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
