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change, culture, motivation, organizations, quality



  1. Lin, Michael K.
  2. Marsteller, Jill A.
  3. Shortell, Stephen M.
  4. Mendel, Peter
  5. Pearson, Marjorie
  6. Rosen, Mayde
  7. Wu, Shin-Yi


Abstract: This article examines the motivation of health care professionals to improve quality of chronic illness care using the Chronic Care Model and Plan-Do-Study-Act cycles. The findings suggest that organizational attempts to redesign care require support of activities initiated by practitioners and managers and an organizational commitment to quality improvement.