Table 4.

Results of a mediation analysis investigating whether care coordination mediates the relationship between team dynamics and safety culture in primary care, all respondents and by role on the primary care team

	Team dynamics on perception of safety culturea	Team dynamics on care coordinationb	Care coordination on perception of safety culture given team dynamicsc	Team dynamics on perception of safety culture given care coordinationd	Per cent of total effect mediated	P-Value Sobel test (t value)
	Estimate (95% CI)	Estimate (95% CI)	Estimate (95% CI)	Estimate (95% CI)	%	–
All respondents	0.761 (0.702–0.820)**	0.399 (0.326–0.472)**	0.093 (0.058–0.128)**	0.733 (0.684–0782)**	4.67	<0.001 (4.50)
Attending Clinicians	0.752 (0.634–0.870)**	0.337 (0.200–0.474)**	0.166 (0.025–0.307)*	0.703 (0.580–0.826)**	6.95	0.038 (2.08)
Residents	0.659 (0.539–0.781)**	0.450 (0.297–0.603)**	0.130 (0.120–0.140)*	0.608 (0.506–0.710)**	8.15	0.019 (2.34)
Other patient-facing staff	0.802 (0.698–0.906)**	0.427 (0.315–0.539)**	0.093 (0.046–0.140)**	0.781 (0.656–0.906)**	4.73	0.001 (3.48)

All results were adjusted for gender, practice site (hospital based versus community based). For the analyses for the attending clinicians and other patient-fronting providers, results were also adjusted for age and race/ethnicity. Standard errors were also heteroskedasticity robust and clustered by primary care practice.

CI, confidence interval.

^aTotal effect of team dynamics on perception of safety culture.

^bTotal effect of team dynamics on care coordination.

^cEffect of care coordination on perception of safety culture controlling for team dynamics.

^dDirect effect of team dynamics on perception of safety culture controlling for care coordination.

*P < 0.05, **P < 0.01.