Received from the Northwest Regional Faculty Development Center (CSS, MM, WH, CF), VA Medical Center, Boise, Idaho; Departments of Medicine (CSS, CR), Medical Education and Biomedical Informatics (CSS), University of Washington, Seattle, Wash; Department of Nursing (MM), Boise State University, Boise, Idaho; and Departments of Medicine (JM) and Anthropology (LC), University of California, Irvine, Calif.
Cultural Consensus Analysis as a Tool for Clinic Improvements
Version of Record online: 30 APR 2004
Journal of General Internal Medicine
Volume 19, Issue 5p2, pages 514–518, May 2004
How to Cite
Smith, C. S., Morris, M., Hill, W., Francovich, C., McMullin, J., Chavez, L. and Rhoads, C. (2004), Cultural Consensus Analysis as a Tool for Clinic Improvements. Journal of General Internal Medicine, 19: 514–518. doi: 10.1111/j.1525-1497.2004.30061.x
Presented in part at the Fifth Congress of the International Society for Cultural Research and Activity Theory (ISCRAT), June 18–22, 2002, Amsterdam, The Netherlands, and the 26th Annual Session of the Society of General Internal Medicine (SGIM), May 1–3, 2003, Vancouver, Canada.
- Issue online: 30 APR 2004
- Version of Record online: 30 APR 2004
- patient-centered care;
- organizational cultures;
Some problems in clinic function recur because of unexpected value differences between patients, faculty, and residents. Cultural consensus analysis (CCA) is a method used by anthropologists to identify groups with shared values. After conducting an ethnographic study and using focus groups, we developed and validated a CCA tool for use in clinics. Using this instrument, we identified distinct groups with 6 important value differences between those groups. An analysis of these value differences suggested specific and pragmatic interventions to improve clinic functioning. The instrument has also performed well in preliminary tests at another clinic.