{"id":"https://openalex.org/W159676495","doi":null,"title":"Primary care practice organization and preventive services delivery: a qualitative analysis.","display_name":"Primary care practice organization and preventive services delivery: a qualitative analysis.","publication_year":1998,"publication_date":"1998-05-01","ids":{"openalex":"https://openalex.org/W159676495","mag":"159676495","pmid":"https://pubmed.ncbi.nlm.nih.gov/9597998"},"language":"en","primary_location":{"id":"pmid:9597998","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9597998","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of family practice","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041536527","display_name":"Benjamin F. Crabtree","orcid":"https://orcid.org/0000-0003-2292-6835","observed_orcids":["https://orcid.org/0000-0003-2292-6835"]},"institutions":[{"id":"https://openalex.org/I59130452","display_name":"University of Nebraska Medical Center","ror":"https://ror.org/00thqtb16","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I59130452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"B F Crabtree","raw_affiliation_strings":["Department of Family Medicine, University of Nebraska Medical Center, Omaha 68198-3075, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Family Medicine, University of Nebraska Medical Center, Omaha 68198-3075, USA","institution_ids":["https://openalex.org/I59130452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056390227","display_name":"William L. Miller","orcid":"https://orcid.org/0000-0002-9957-1211","observed_orcids":["https://orcid.org/0000-0002-9957-1211","https://orcid.org/0000-0002-0181-7800"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"W L Miller","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108213849","display_name":"Virginia Aita","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"V A Aita","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018225026","display_name":"Susan A. Flocke","orcid":"https://orcid.org/0000-0002-5155-7074","observed_orcids":["https://orcid.org/0000-0002-5155-7074"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S A Flocke","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5034918030","display_name":"Kurt C. Stange","orcid":"https://orcid.org/0000-0002-2189-0191","observed_orcids":["https://orcid.org/0000-0002-2189-0191"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"K C Stange","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":7.1648,"has_fulltext":false,"cited_by_count":121,"citation_normalized_percentile":{"value":0.96908127,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":98},"biblio":{"volume":"46","issue":"5","first_page":"403","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.9110000133514404},{"id":"https://openalex.org/keywords/practice-change","display_name":"practice change","score":0.7149999737739563},{"id":"https://openalex.org/keywords/workplace-efficiency","display_name":"workplace efficiency","score":0.6209999918937683},{"id":"https://openalex.org/keywords/staff-roles","display_name":"staff roles","score":0.8180000185966492},{"id":"https://openalex.org/keywords/physician-communication","display_name":"physician communication","score":0.7419999837875366},{"id":"https://openalex.org/keywords/practice-innovation","display_name":"practice innovation","score":0.4959999918937683}],"concepts":[{"id":"https://openalex.org/C2776546736","wikidata":"https://www.wikidata.org/wiki/Q1335979","display_name":"Fieldnotes","level":3,"score":0.745255172252655},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6997116804122925},{"id":"https://openalex.org/C2777146004","wikidata":"https://www.wikidata.org/wiki/Q14949826","display_name":"CLARITY","level":2,"score":0.6506933569908142},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.490474671125412},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4410947859287262},{"id":"https://openalex.org/C14036430","wikidata":"https://www.wikidata.org/wiki/Q3736076","display_name":"Function (biology)","level":2,"score":0.4398091435432434},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4377817213535309},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4268786907196045},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3332647979259491},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.288312703371048},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C179454799","wikidata":"https://www.wikidata.org/wiki/Q132151","display_name":"Ethnography","level":2,"score":0.0},{"id":"https://openalex.org/C55493867","wikidata":"https://www.wikidata.org/wiki/Q7094","display_name":"Biochemistry","level":1,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C78458016","wikidata":"https://www.wikidata.org/wiki/Q840400","display_name":"Evolutionary biology","level":1,"score":0.0},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D003266","descriptor_name":"Continuity of Patient Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009820","descriptor_name":"Ohio","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011216","descriptor_name":"Practice Management, Medical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011314","descriptor_name":"Preventive Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013598","descriptor_name":"Systems Theory","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019370","descriptor_name":"Observation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019982","descriptor_name":"Organizational Case Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:9597998","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9597998","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of family practice","raw_type":"Journal Article"},{"id":"mag:159676495","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9597998","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.5683000087738037}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2278274507","display_name":"Practice Outcomes in Community & Healthcare Systems","funder_award_id":"R01CA060862","funder_id":"https://openalex.org/F4320337351","funder_display_name":"National Cancer Institute"}],"funders":[{"id":"https://openalex.org/F4320337351","display_name":"National Cancer Institute","ror":"https://ror.org/040gcmg81"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W155451057","https://openalex.org/W2234404091","https://openalex.org/W2162148484","https://openalex.org/W7067204731","https://openalex.org/W1514615556","https://openalex.org/W1980556709","https://openalex.org/W1991417796","https://openalex.org/W42327061","https://openalex.org/W1999038169","https://openalex.org/W2090633251"],"abstract_inverted_index":{"BACKGROUND:":[0],"Rapid":[1],"developments":[2],"within":[3,82],"the":[4,34,46,54,71,79,83,178,249],"health":[5,50],"care":[6,17,51,85,132,157],"environment":[7],"have":[8,219,253],"led":[9],"to":[10,38,44,114,197,234,245,252,263],"increased":[11],"pressures":[12],"for":[13,106,120],"change":[14,39,235,247],"among":[15,191],"primary":[16,84,131,156],"physicians":[18,61,99,192,216],"and":[19,30,77,140,161,166,172,174,193,195,213],"their":[20,63,236],"practices.":[21],"Nevertheless,":[22],"a":[23,74,148,227,254,268],"lack":[24],"of":[25,27,36,48,56,151,169,177,186,271],"understanding":[26,121],"practice":[28,40,133,179],"organization":[29],"function":[31],"has":[32],"limited":[33],"effectiveness":[35],"attempts":[37,43,64],"behaviors.":[41],"Recent":[42],"increase":[45],"delivery":[47],"preventive":[49],"services":[52],"illustrate":[53],"limitations":[55],"current":[57],"approaches.":[58],"To":[59],"assist":[60],"in":[62,100,103],"at":[65,70,78],"change,":[66],"our":[67],"study":[68],"looked":[69],"office":[72,183,199],"as":[73,182,238,240],"whole":[75],"system":[76],"competing":[80],"demands":[81],"setting.":[86],"METHODS:":[87],"Qualitative":[88],"fieldnotes":[89],"were":[90,112],"recorded":[91],"by":[92],"research":[93,139],"nurses":[94],"who":[95,232,243],"observed":[96],"138":[97],"family":[98],"84":[101],"practices":[102,123,158,207,265],"northeast":[104],"Ohio":[105],"4":[107],"days":[108],"each.":[109],"These":[110,127,163],"data":[111,128,146,202],"content-analyzed":[113],"identify":[115],"features":[116,152,176],"that":[117,130,153,205,214,222,266],"are":[118,124,159,208],"important":[119],"how":[122,155],"organized.":[125],"RESULTS:":[126],"indicate":[129],"is":[134,259],"much":[135],"more":[136,209,255],"complex":[137],"than":[138,211,258],"transformation":[141],"efforts":[142],"generally":[143],"acknowledge.":[144],"The":[145,201],"identified":[147],"diverse":[149],"set":[150],"describe":[154],"organized":[160],"function.":[162],"included":[164],"cognitive":[165],"behavioral":[167],"components":[168],"physician":[170],"philosophy":[171],"style,":[173],"numerous":[175],"organization,":[180],"such":[181],"efficiency,":[184],"clarity":[185],"staff":[187,218],"roles,":[188],"communication":[189],"patterns":[190],"staff,":[194],"approaches":[196],"using":[198],"protocols.":[200],"also":[203],"suggest":[204],"some":[206,215],"innovative":[210],"others":[212],"or":[217,225],"special":[220],"motivations":[221],"can":[223],"support":[224],"inhibit":[226],"particular":[228],"change.":[229],"CONCLUSIONS:":[230],"Physicians":[231],"want":[233,244],"practice,":[237],"well":[239],"those":[241],"persons":[242],"stimulate":[246],"from":[248],"outside,":[250],"need":[251],"comprehensive":[256],"approach":[257],"now":[260],"commonly":[261],"used":[262],"assess":[264],"encompass":[267],"broad":[269],"spectrum":[270],"variables.":[272]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":2},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":5}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}