Table 4.
Intervention
|
Control
|
|||||||
---|---|---|---|---|---|---|---|---|
Characteristic | Baseline (n = 43) |
Postintervention (n = 46) |
Difa | Baseline (n = 79) |
Postintervention (n = 78) |
Difa | Dif in Difb | P Valuec |
Ancillary support | ||||||||
| ||||||||
Adequate nursing support | 56 | 83 | +27 | 77 | 79 | +2 | +25 | .06 |
| ||||||||
Adequate case management | 26 | 54 | +29 | 28 | 21 | −7 | +35 | .007 |
| ||||||||
Adequate overall support | 53 | 72 | +18 | 62 | 63 | +1 | +18 | .19 |
| ||||||||
Primary care delivery | ||||||||
| ||||||||
Clinic structure supports continuity of care | 23 | 33 | +9 | 56 | 33 | −22 | +33 | .02 |
| ||||||||
Smooth patient flow during clinic | 53 | 57 | +3 | 61 | 53 | −8 | +12 | .40 |
| ||||||||
Timely referrals to subspecialty care | 2 | 24 | +22 | 10 | 10 | 0 | +22 | .03 |
| ||||||||
Timely completion of ordered tests | 42 | 46 | +4 | 47 | 41 | −6 | +10 | .47 |
| ||||||||
Patients easily able to contact physician | 16 | 30 | +14 | 24 | 24 | 0 | +14 | .23 |
| ||||||||
General clinic experiences | ||||||||
| ||||||||
Confidence in postresidency practice of general medicine | 58 | 65 | +7 | 68 | 65 | −3 | +10 | .43 |
| ||||||||
Interested in primary care career | 16 | 24 | +8 | 22 | 19 | −2 | +11 | .39 |
| ||||||||
More respect for primary care physicians | 72 | 74 | +2 | 63 | 62 | −2 | +3 | .73 |
| ||||||||
Overall rating of clinic experience | 47 | 57 | +10 | 39 | 36 | −3 | +13 | .29 |
| ||||||||
Composite scored | 39 | 51 | +13 | 46 | 42 | −4 | +17 | .01 |
Abbreviation: Dif, difference.
Discrepancies in the Dif values result from rounding.
Positive values indicate an improvement in satisfaction in the intervention clinic vs the control clinics.
P values represent adjusted values from the regression analysis.
A composite summary score representing the percentage of all survey questions receiving a favorable response.