GP and staff evaluation of the maturity matrix as a tool to assess and improve organisational development in primary care

Int J Health Care Qual Assur. 2009;22(7):686-700. doi: 10.1108/09526860910995029.

Abstract

Purpose: This paper aims to evaluate the maturity matrix (MM) a facilitated formative self-assessment tool for organisational development in primary care) on satisfaction, differences between GP and staff, the extent to which practice teams worked on goals set, and to identify suggestions for change to MM.

Design/methodology/approach: The approach taken was a cross-sectional survey administered to all participants by mail in 57 family practices, 278 participants, (143 GPs; 135 staff) in Denmark, one year after participating in the MM project.

Findings: At practice level 44 returned at least one questionnaire. At participant level, 144 returned the questionnaire: 82 GPs; 62 staff. A total of 93 gave positive statements on satisfaction with MM, 16 stated initial expectations were not met, 79 would recommend MM to colleagues. Differences between GPs and staff were only statistically significant regarding "increased insight into organisation of work after participation in the MM project". There was a tendency that GPs were more positive and likely to give an opinion. A total of 22 planned how to meet the goals set at the first MM meeting and 18 felt that they achieved them. In 24 out of 44 practices MM was stated to contribute new ways of working. A total of 12 of 144 stated that they needed more follow-up support.

Practical implications: The results indicate that MM is a workable method to assess and gain insight into practice organisation with no major differences between GPs and staff.

Originality/value: The paper examines participants views' on MM one year after introduction.

MeSH terms

  • Allied Health Personnel
  • Cross-Sectional Studies
  • Denmark
  • Employee Performance Appraisal*
  • Family Practice
  • Humans
  • Organizational Innovation
  • Organizational Objectives
  • Physicians, Family
  • Primary Health Care*
  • Quality Assurance, Health Care
  • Quality Indicators, Health Care
  • Self-Assessment*