Table 2.
Item characteristics and factor loadings of the first full model
| Item | missing | not applicable | mean | sd | λ | |
|---|---|---|---|---|---|---|
| Organization of the Healthcare Delivery System | ||||||
| 1. Overall organizational leadership in chronic illness care | 211 | 7 (3.2%) | 4 (1.8%) | 7.38 | 2.36 | .80 |
| 2. Organizational goals for chronic care | 212 | 6 (2.8%) | 4 (1.8%) | 7.58 | 2.18 | .88 |
| 3. Improvement strategy for chronic illness care | 210 | 8 (3.7%) | 7 (3.2%) | 6.98 | 2.35 | .81 |
| 4. Incentives and regulations for chronic illness care | 207 | 11 (5.0%) | 10 (4.6%) | 6.84 | 2.49 | .73 |
| 5. Senior leaders | 209 | 9 (4.1%) | 15 (6.9%) | 8.24 | 2.16 | .62 |
| 6. Benefits | 204 | 14 (6.4%) | 13 (6.0%) | 6.66 | 2.73 | .66 |
| Community linkages | ||||||
| 7. Linking patients to outside resources | 208 | 10 (4.6%) | 7 (3.2%) | 6.23 | 2.53 | .62 |
| 8. Partnership with community organizations | 209 | 9 (4.1%) | 5 (2.3%) | 7.16 | 2.11 | .75 |
| 9. Regional health plans | 206 | 12 (5.5%) | 26 (11.9%) | 7.22 | 2.57 | .88 |
| Self-management support | ||||||
| 10. Assessment and documentation of self-management needs and activities | 209 | 9 (4.1%) | 1 (0.5%) | 5.85 | 2.78 | .82 |
| 11. Self-management support | 210 | 8 (3.7%) | 4 (1.8%) | 6.44 | 2.97 | .87 |
| 12. Addressing concerns of patients and families | 210 | 8 (3.7%) | 2 (0.9%) | 6.49 | 2.07 | .78 |
| 13. Effective behavior change interventions and peer support | 208 | 10 (4.6%) | 4 (1.8%) | 7.07 | 2.46 | .73 |
| Decision support | ||||||
| 14. Evidence-based guidelines | 210 | 8 (3.7%) | 3 (1.4%) | 7.88 | 1.79 | .74 |
| 15. Involvement of specialists in improving primary care | 209 | 9 (4.1%) | 4 (1.8%) | 6.79 | 2.80 | .68 |
| 16. Providing education for chronic illness care | 208 | 10 (4.6%) | 6 (2.8%) | 6.66 | 2.42 | .78 |
| 17. Informing patients about guidelines | 209 | 9 (4.1%) | 3 (1.4%) | 6.22 | 2.50 | .76 |
| Delivery system design | ||||||
| 18. Practice team functioning | 206 | 12 (5.5%) | 5 (2.3%) | 6.72 | 2.19 | .78 |
| 19. Practice team leadership | 206 | 12 (5.5%) | 4 (1.8%) | 7.09 | 2.33 | .67 |
| 20. Appointment system | 206 | 12 (5.5%) | 6 (2.8%) | 6.31 | 2.22 | .69 |
| 21. Follow-up | 209 | 9 (4.1%) | 2 (0.9%) | 7.39 | 2.30 | .73 |
| 22. Planned visits for chronic illness care | 209 | 9 (4.1%) | 3 (1.4%) | 8.78 | 1.84 | .67 |
| 23. Continuity of care | 207 | 11 (5.0%) | 2 (0.9%) | 7.45 | 2.11 | .79 |
| Clinical information systems | ||||||
| 24. Registry (list of patients with specific conditions) | 207 | 11 (5.0%) | 9 (4.1%) | 6.74 | 2.31 | .63 |
| 25. Reminders to providers | 203 | 15 (6.9%) | 21 (9.6%) | 5.92 | 3.60 | .46 |
| 26. Feedback | 207 | 11 (5.0%) | 12 (5.5%) | 6.51 | 2.53 | .65 |
| 27. Information about relevant subgroups of patients needing services | 202 | 16 (7.3%) | 9 (4.1%) | 6.37 | 2.54 | .71 |
| 28. Patient treatment plans | 208 | 10 (4.6%) | 3 (1.4%) | 6.35 | 2.68 | .79 |
| Integration of chronic care components | ||||||
| 29. Informing patients about guidelines | 207 | 11 (5.0%) | 6 (2.8%) | 6.24 | 2.46 | .78 |
| 30. Information systems/registries | 204 | 14 (6.4%) | 12 (5.5%) | 5.13 | 3.15 | .73 |
| 31. Community programs | 205 | 13 (6.0%) | 34 (15.6%) | 5.79 | 3.62 | .71 |
| 32. Organizational planning for chronic illness care | 204 | 14 (6.4%) | 10 (4.6%) | 5.69 | 2.50 | .76 |
| 33. Routine follow-up for appointments patient assessments and goal planning | 206 | 12 (5.5%) | 10 (4.6%) | 6.96 | 2.40 | .74 |
| 34. Guidelines for chronic illness care | 206 | 12 (5.5%) | 8 (3.7%) | 5.40 | 2.78 | .89 |