Table 4.
Allocation of Explainable Variance in Each Measure Across Four Levels of the Delivery System
| Variance Explained by | Percent of Delivery System Variance Accounted for by Each Level | ||||||
|---|---|---|---|---|---|---|---|
| Total | Patient Characteristics | Delivery System Effects | Physician | Practice | Network Organization | Health Plan | |
| Organizational/structural features of care | |||||||
| Organizational access | 12.9 | 3.5 | 9.4 | 39.4 | 44.8 | 15.8 | 0.0 |
| Visit-based continuity | 22.1 | 5.1 | 16.9 | 36.4 | 55.7 | 8.0 | 0.0 |
| Integration | 10.6 | 5.2 | 5.3 | 22.9 | 77.1 | 0.0 | 0.0 |
| Clinical team | 5.0 | 2.6 | 2.4 | 17.8 | 81.1 | 0.0 | 1.1 |
| Office staff | 8.6 | 4.3 | 4.4 | 21.0 | 62.8 | 13.7 | 2.5 |
| Physician-patient interactions | |||||||
| Communication | 8.6 | 2.4 | 6.2 | 61.7 | 38.3 | 0.0 | 0.0 |
| Whole-person orientation | 15.3 | 6.5 | 8.8 | 74.1 | 24.9 | 0.0 | 1.0 |
| Health promotion | 8.0 | 3.7 | 4.3 | 77.0 | 22.4 | 0.0 | 0.5 |
| Interpersonal treatment | 9.2 | 2.6 | 6.6 | 83.9 | 15.8 | 0.0 | 0.2 |
| Patient trust | 9.5 | 3.6 | 5.9 | 70.0 | 28.8 | 0.0 | 1.2 |