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- David Litaker, Anne Tomolo, Vincenzo Liberatore, Kurt C Stange, and David Aron.
- VA HSR&D Center for Quality Improvement Research, Louis Stokes Cleveland Department of Veterans Affairs Medical Center and Department of Medicine, Case Western Reserve University, OH 44106, USA.
- J Gen Intern Med. 2006 Feb 1; 21 Suppl 2 (Suppl 2): S30S34S30-4.
AbstractPrevious observational research confirms abundant variation in primary care practice. While variation is sometimes viewed as problematic, its presence may also be highly informative in uncovering ways to enhance health care delivery when it represents unique adaptations to the values and needs of people within the practice and interactions with the local community and health care system. We describe a theoretical perspective for use in developing interventions to improve care that acknowledges the uniqueness of primary care practices and encourages flexibility in the form of intervention implementation, while maintaining fidelity to its essential functions.
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