Table 3.
Characteristic | Patient Planning, % | Motivational Interviewing, % | Organizational Strategies, % | |||
---|---|---|---|---|---|---|
| ||||||
Top Quartile (n = 397) |
Bottom Quartile (n = 518) |
Top Quartile (n = 374) |
Bottom Quartile (n = 290) |
Top Quartile (n = 509) |
Bottom Quartile (n = 214) |
|
Respondents | ||||||
Role in PACT | ||||||
Primary care clinician | 30a | 41 | 34 | 38 | 29a | 53 |
Registered nurse | 42 | 39 | 41 | 41 | 44 | 26 |
Clinical associate | 27 | 20 | 26 | 21 | 27 | 22 |
Experience in PACT | ||||||
<1 years | 14 | 12 | 12 | 16 | 12 | 13 |
1-2 years | 19 | 15 | 18 | 8 | 14 | 15 |
>2 years | 67 | 73 | 69 | 73 | 74 | 71 |
Care setting: community-based outpatient clinic | 71a | 49 | 64a | 81 | 65 | 65 |
Clinics | ||||||
Staffing ratio (≥3 per primary care clinician) | 72a | 47 | 69a | 56 | 73a | 54 |
Staff turnover (in past 12 months) | 57a | 65 | 57a | 65 | 64 | 66 |
Role clarity | 89a | 65 | 91a | 70 | 88a | 58 |
Daily team huddles | 80a | 52 | 79a | 60 | 77a | 57 |
Regular team meetings | 86a | 54 | 82a | 54 | 81a | 55 |
Responsible PACT leadership | 93a | 72 | 94a | 76 | 92a | 67 |
Review of performance reports | 85a | 52 | 82a | 57 | 82a | 52 |
Work to top of license (≥75%) | 70a | 43 | 68a | 48 | 60a | 42 |
Burnout more than once a week | 28a | 47 | 26a | 47 | 32a | 52 |
Psychological safetyb | 65a | 53 | 62a | 59 | 63a | 56 |
PACT = Patient-Aligned Care Team.
Differs significantly (P ≤.05) between top and bottom quartiles, based on bivariate logistic regression models using generalized estimating equations to account for clustering by clinic facility.
Computed as the average of 7 items on a 5-point Likert-type scale and dichotomized at ≥4.0 (corresponding to accurate/very accurate) vs <4.0.
Note: Top and bottom quartiles are unequal because of discontinuity in the distribution of patient engagement subscale scores (across the range of possible scores).