The GP-OH (General Practice - Organizational Health) Survey: Development and Validation of a Novel Instrument to Measure Organizational Health in General Practice

Hosp Top. 2022 Oct-Dec;100(4):177-187. doi: 10.1080/00185868.2021.1947164. Epub 2021 Jul 30.


Primary care healthcare organizations are complex and multidimensional, and there has been much discussion about the potential dangers of focusing on outcomes as quality indicators in isolation without understanding the processes and system characteristics that drive them. Organizational health, as a concept, shifts the focus of measurement upstream and considers the elements needed for sustainable long-term success. This study has both designed and tested the first survey seeking to measure organizational health specifically within the context of primary care. A stepwise approach was taken to ensure that the validity and reliability of the survey was examined at multiple stages.Supplemental data for this article is available online at

Keywords: Organizational theory; performance measures; primary care; quality measurement; surveys.

MeSH terms

  • General Practice*
  • Humans
  • Organizations
  • Reproducibility of Results
  • Surveys and Questionnaires