Table 3.
Provider and Staff Perceptions of Integrated Care (PSPIC) Questions and Response Characteristics (n = 781).
PSPIC questions | n (%) | Mean | SD | Strongly disagree % | Strongly agreea % | |
---|---|---|---|---|---|---|
1. Care coordination | ||||||
1a | Patient care is well- coordinated among providers, nurses, and clinic staff | 779 (99.7) | 3.9 | 0.9 | 1.4 | 21.1 |
1b | Providers and staff meet frequently (e.g., team huddles) to plan for patient visits | 774 (99.1) | 3.2 | 1.2 | 8.1 | 13.4 |
1c | Candid and open communication exists between providers and other staff | 774 (99.1) | 4.0 | 0.9 | 2.5 | 27.3 |
2. Coordination with external providers | ||||||
2a | Patient care is well- coordinated with external health care providers (e.g., specialists, hospitals) | 778 (99.6) | 3.6 | 0.9 | 1.4 | 12.2 |
2b | We have good systems in place to track referrals to external providers | 776 (99.4) | 3.7 | 1.0 | 1.7 | 20.6 |
2c | We routinely receive discharge summaries after our patients are hospitalized | 770 (98.6) | 3.5 | 1.1 | 3.6 | 16.9 |
3. Coordination with community resources | ||||||
3a | Patient care is well- coordinated with community resources (e.g., support groups, food pantry, shelters) | 779 (99.7) | 3.6 | 1.0 | 2.2 | 16.9 |
3b | Providers and staff are well-informed about available community resources for patients | 777 (99.5) | 3.6 | 1.0 | 1.8 | 15.6 |
3c | We have established relationships with community agencies to facilitate our referrals to them | 778 (99.6) | 3. 8 | 0.9 | 1.0 | 19.3 |
4. Familiarity with the patient | ||||||
4a | Providers and staff are well-informed at the time of each patient visit about patients’ medical history and current treatments | 779 (99.7) | 3.9 | 0.8 | 1.0 | 19.9 |
4b | Providers and staff are well-informed about patients’ current social needs (e.g., housing, transportation) | 778 (99.6) | 3.4 | 0.9 | 1.3 | 8.4 |
4c | Patients see the same care team or provider for routine clinic visits | 776 (99.4) | 3.8 | 0.9 | 2.5 | 19.9 |
5. Contact between office visits | ||||||
5a | We routinely contact patients with chronic conditions to help them manage their conditions | 775 (99.2) | 3.2 | 1.0 | 4.4 | 9.2 |
5b | We routinely contact patients to remind them of regular preventive or follow- up visits (e.g., flu vaccine or routine lab tests) | 776 (99.4) | 3.5 | 1.1 | 3.7 | 16.5 |
5c | We routinely contact patients to inform them of abnormal laboratory results | 775 (99.2) | 4.4 | 0.7 | 0.5 | 46.7 |
6. Patient-centered care | ||||||
6a | Care is designed to meet the preferences of patients and their families | 778 (99.6) | 3.8 | 0.8 | 1.0 | 15.9 |
6b | We regularly use feedback from patients and families to improve services | 778 (99.6) | 3.8 | 0.9 | 1.3 | 18.9 |
6c | We communicate with patients in a way that they understand (e.g., appropriate language and literacy) | 776 (99.4) | 4.2 | 0.6 | 0.3 | 31.4 |
7. Patients and providers | ||||||
7a | Providers and staff view patients as equal partners in their care | 776 (99.4) | 3.9 | 0.8 | 0.5 | 20.5 |
7b | When developing a treatment plan, providers and staff routinely encourage patients to actively participate in setting goals | 775 (99.2) | 4.0 | 0.8 | 0.5 | 22.6 |
7c | Providers and staff routinely work with patients to develop self-management skills for managing their health conditions | 774 (99.1) | 4.0 | 0.8 | 0.5 | 20.7 |
Items were rated on a 5-point Likert-type response scale (Strongly Disagree = 1, Disagree = 2, Neither Disagree or Agree = 3, Agree = 4, and Strongly Agree = 5).