Table 5.
Exploratory and Confirmatory Factor Analysis Loadings of Provider and Staff Perceptions of Integrated Care (PSPIC) Survey.
| EFA factors (n = 380) | CFA factors (n = 401) | ||||||||
|---|---|---|---|---|---|---|---|---|---|
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|
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| PSPIC questions | Factor 1 | Factor 2 | Factor 3 | Factor 4 | Factor 1 | Factor 2 | Factor 3 | Factor 4 | |
| 1. Care coordination | |||||||||
| 1a | Patient care is well-coordinated among providers, nurses, and clinic staff | 0.52 | 0.62 | ||||||
| 1b | Providers and staff meet frequently (e.g., team huddles) to plan for patient visits | 0.60 | 0.59 | ||||||
| 1c | Candid and open communication exists between providers and other staff | 0.43 | 0.60 | ||||||
| 2. Coordination with external providers | |||||||||
| 2a | Patient care is well- coordinated with external health care providers (e.g., specialists, hospitals) | 0.70 | 0.72 | ||||||
| 2b | We have good systems in place to track referrals to external providers | 0.66 | 0.75 | ||||||
| 2c | We routinely receive discharge summaries after our patients are hospitalized | 0.63 | 0.61 | ||||||
| 3. Coordination with community resources | |||||||||
| 3a | Patient care is well-coordinated with community resources (e.g., support groups, food pantry, shelters) | 0.69 | 0.89 | ||||||
| 3b | Providers and staff are well-informed about available community resources for patients | 0.65 | 0.90 | ||||||
| 3c | We have established relationships with community agencies to facilitate our referrals to them | 0.71 | 0.80 | ||||||
| 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 | 0.55 | 0.52 | ||||||
| 4b | Providers and staff are well- informed about patients’ current social needs (e.g., housing, transportation) | 0.50 | 0.48 | ||||||
| 4c | Patients see the same care team or provider for routine clinic visits | 0.31 | 0.46 | ||||||
| 5. Contact between office visits | |||||||||
| 5a | We routinely contact patients with chronic conditions to help them manage their conditions | 0.69 | 0.67 | ||||||
| 5b | We routinely contact patients to remind them of regular preventive or follow-up visits (e.g., flu vaccine or routine lab tests) | 0.63 | 0.66 | ||||||
| 5c | We routinely contact patients to inform them of abnormal laboratory results | 0.34 | 0.35 | ||||||
| 6. Patient-centered care | |||||||||
| 6a | Care is designed to meet the preferences of patients and their families | 0.65 | 0.66 | ||||||
| 6b | We regularly use feedback from patients and families to improve services | 0.52 | 0.64 | ||||||
| 6c | We communicate with patients in a way that they understand (e.g., appropriate language and literacy) | 0.66 | 0.45 | ||||||
| 7. Patients and providers | |||||||||
| 7a | Providers and staff view patients as equal partners in their care | 0.70 | 0.64 | ||||||
| 7b | When developing a treatment plan, providers and staff routinely encourage patients to actively participate in setting goals | 0.77 | 0.63 | ||||||
| 7c | Providers and staff routinely work with patients to develop self- management skills for managing their health conditions | 0.78 | 0.60 | ||||||
Note. EFA = exploratory factor analysis; CFA = confirmatory factor analysis.
Factor 1: Teams and Care Continuity. Includes 8 questions: 1a, 1b, 1c, 4a, 4b, 4c, 5a, 5b. Factor 2: Patient Centeredness. Includes 7 questions: 5c, 6a, 6b, 6c, 7a, 7b, 7c. Factor 3: Coordination with External Providers. Includes 3 questions: 2a, 2b, 2c. Factor 4: Coordination with Community Resources. Includes 3 questions: 3a, 3b, 3c.