Table 3.
Associations between organizational or cultural factors for participating FHTs and team climate scores
| FACTOR | UNIVARIATE ANALYSIS β (95% CI) | PVALUE | MULTIPLE VARIABLE ANALYSIS β (95% CI) | PVALUE |
|---|---|---|---|---|
| Leadership scale score | 0.63 (0.56 to 0.69) | < .001 | 0.48 (0.40 to 0.55) | < .001 |
| Organizational culture | ||||
| • Group | 0.13 (0.11 to 0.16) | < .001 | 0.04 (0.001 to 0.07) | .04 |
| • Developmental | 0.08 (0.03 to 0.13) | .002 | 0.05 (−0.005 to 0.10) | .08 |
| • Hierarchical | −0.20 (−0.23 to −0.16) | < .001 | −0.06 (−0.10 to −0.009) | .02 |
| • Rational | −0.08 (−0.13 to −0.03) | .001 | NA | NA |
| No. of EMR capabilities used* | 0.07 (−0.01 to 0.15) | .10 | 0.03 (0.003 to 0.06) | .03 |
| Months operational as an FHT | −0.012 (−0.02 to −0.004) | .002 | −0.003 (−0.0006 to −0.006) | .04 |
| EMR perceptions | −0.05 (−0.10 to 0.003) | .07 | NA | > .10 |
| No. of staff in FHT | 0.001 (−0.003 to 0.006) | .60 | NA | NA |
| Full team meetings at least monthly | −0.12 (−0.47 to 0.22) | .50 | NA | NA |
| No. of patients per physician (< 1000, 1000–1999, ≥2000) | 0.04 (−0.21 to 0.30) | .75 | NA | NA |
| Single site versus multiple sites | 0.09 (−0.23 to 0.41) | .59 | NA | NA |
CI—confidence interval, EMR—electronic medical record, FHT—family health team, NA—not applicable.
*
Of a possible 22, including scheduling appointments, billing, within-clinic messaging, clinical notes, prescribing information (drug interactions, warnings, direct-to-pharmacy prescribing), laboratory or radiology requisitions, viewing laboratory and imaging results (history and follow-up notes), patient demographic information, patient problem lists, medications, disease registries, decision-support tools, queries, and reminders for guideline-based interventions.