The Article in Brief

Background Many studies have focused on ways in which large medical groups and health care systems address the challenges of delivering health care. Fewer studies have shed light on health care delivery in smaller medical groups, in which most doctors work. This case study aims to learn more about the culture and organization of a small medical group that provides its patients with high levels of chronic disease management and preventive medical care.

What This Study Found The authors identify 12 attributes of this practice that appear to be associated with good quality of care. These include a strong focus on patients, capable leaders who successfully involve the entire staff, strong support for the physician-patient relationship, a team approach to care, openness to/systems for making change, and pride and joy in their work.

Implications

• The attributes identified in the study show a path to achieving excellent quality in several aspects of medical care.
• Identifying high-performing medical practices and understanding how they are different from other practices can provide insights into excellent medical care.