Organisational culture and the integrated chronic diseases management model implementation fidelity in South Africa: a cross-sectional study.

ABSTRACT:

Objective

To assess whether organisational culture influences the fidelity of implementation of the Integrated Chronic Disease Management (ICDM) model at primary healthcare (PHC) clinics.

Design

A cross-sectional study.

Setting

The ICDM model was introduced in South African clinics to strengthen delivery of care and improve clinical outcomes for patients with chronic conditions, but the determinants of its implementation have not been assessed.

Participants

The abbreviated Denison organisational culture (DOC) survey tool was administered to 90 staff members to assess three cultural traits: involvement, consistency and adaptability of six PHC clinics in Dr. Kenneth Kaunda and West Rand (WR) health districts.

Primary and secondary outcome measures

Each cul

SUBMITTER: Lebina L 

PROVIDER: S-EPMC7394176 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature