Table 2.
Results of the weighing of the importance of sub-domains within domains by two expert panels
|
(Sub) Domains |
Care groups (DCGs) |
Outpatient clinics (DOCs) |
||||||
|---|---|---|---|---|---|---|---|---|
| Number of questions per sub-domain |
Mean (%) |
Median (min,max) (%) | p-value* | Number of questions per sub-domain |
Mean (%) |
Median (min,max) (%) | p-value* | |
|
Organisation of care |
13: |
100.0 |
|
|
9: |
100.0 |
|
|
| Care program |
4 |
34.6 |
33.3(25–50) |
ns |
4 |
32.0 |
33.3(20–50) |
ns |
| Continuity and Coordination |
6 |
31.5 |
30(25–50) |
ns |
2 |
31.5 |
33.3(20–40) |
ns |
| Communication and Information |
3 |
34.0 |
33.2(20–50) |
ns |
3 |
36.5 |
33.3(25–60) |
ns |
|
Multidisciplinary teamwork: |
15: |
100.0 |
|
|
16: |
100.0 |
|
|
| Work agreement |
4 |
24.0 |
25(11–33) |
ns |
3 |
23.0 |
20(10–50) |
ns |
| Tasks and responsibilities |
3 |
25.4 |
25(17–35) |
ns |
3 |
23.5 |
20(10–50) |
ns |
| Teamwork/ consultation/ shared education/ guidelines |
5 |
26.0 |
25(16–34) |
ns |
6 |
16.3 |
16.7(10–25) |
ns |
| Transfer and referral |
3 |
24.6 |
25(13–42) |
ns |
3 |
17.8 |
20(10–25) |
ns |
| Diabetic foot team |
- |
- |
- |
- |
1 |
19.4 |
20(5–30) |
ns |
|
Patient centeredness: |
7: |
100.0 |
|
|
7: |
100.0 |
|
|
| Self-management |
1 |
20.2 |
20(5–35) |
ns |
1 |
31.1 |
30(5–60) |
0.04 |
| Individual care plan |
1 |
18.7 |
18.3(10–30) |
ns |
1 |
12.3 |
15(5–20) |
0.03 |
| Policy on patient education |
1 |
12.2 |
12.5(5–20) |
0.02 |
1 |
17.3 |
16(5–30) |
ns |
| Inspection of medical file |
2 |
13.7 |
15(5–20) |
ns |
2 |
11.8 |
10(5–16) |
0.00 |
| Patient interests |
1 |
16.2 |
15(10–25) |
ns |
1 |
12.9 |
10(5–20) |
ns |
| Patient involvement |
1 |
19.2 |
15.8(10–40) |
ns |
1 |
14.6 |
10(10–40) |
ns |
|
Performance management: |
8: |
100.0 |
|
|
8: |
100.0 |
|
|
| Registering results |
1 |
28.0 |
25(10–40) |
ns |
1 |
30.6 |
30(10–55) |
0.04 |
| Control of results |
1 |
18.5 |
20(5–30) |
ns |
1 |
20.6 |
20(10–40) |
ns |
| Processing of results |
2 |
16.5 |
17.5(5–40) |
ns |
2 |
10.6 |
10(5–20) |
0.00 |
| Analysing results |
2 |
16.0 |
17.5(5–30) |
ns |
2 |
17.8 |
15(10–50) |
ns |
| Performance indicators |
2 |
21.0 |
20(10–40) |
ns |
2 |
20.6 |
20(10–30) |
ns |
|
Quality improvement: |
11: |
100.0 |
|
|
11: |
100.0 |
|
|
| Elements of QI |
1 |
12.5 |
10(0–30) |
ns |
1 |
12.8 |
15(0–20) |
ns |
| Feedback/ benchmark |
2 |
25.5 |
27.5(15–30) |
0.00 |
2 |
17.2 |
20(0–30) |
ns |
| Visitation |
2 |
19.5 |
20(0–40) |
ns |
1 |
21.1 |
20(10–35) |
ns |
| Education |
2 |
21.0 |
20(10–35) |
ns |
2 |
15.0 |
20(0–20) |
ns |
| Patient safety |
2 |
9.5 |
10(0–20) |
0.01 |
3 |
18.3 |
15(10–35) |
ns |
| Defining sub-groups |
2 |
12.0 |
12.5(0–25) |
ns |
2 |
15.6 |
15(0–30) |
ns |
|
Management strategies: |
5: |
100.0 |
|
|
6: |
100.0 |
|
|
| Structural policy |
3 |
54.7 |
50(33–100) |
0.02 |
3 |
47.9 |
40(33–100) |
ns |
| Quality system |
1 |
16.3 |
20(0–33) |
0.01 |
1 |
22.3 |
27.5(0–40) |
0.03 |
| Quality documents | 1 | 29.0 | 33(0–40) | ns | 2 | 29.8 | 31.7(0–50) | ns |
*Significant difference versus equally weighting: ns = not significant.