Table 6.
Structure of the final 7 domain German healthcare team survey as emerged from analysis (27 items, Cronbach’s α = 0.926)
| Domain | Items | Factor analysis with listwise deletion of cases with missing values, N = 88, eigenvalue > 1, KMO = 0,828, Bartlett’s test < 0.001 | ||
|---|---|---|---|---|
| MSA | λ | R2 | ||
| Communication (α = 0.815) | Someone on our primary care team helps patients set goals for managing their health.N | 0.822 | 0.732 | 0.727 |
| Someone on our primary care team helps patients understand all of the choices for their care. | 0.900 | 0.702 | 0.800 | |
| Our primary care team helps patients plan so they can take care of their health even when things change or when unexpected things happen.M | 0.835 | 0.681 | 0.720 | |
| Our primary care team considers and respects patients’ individual values when recommending treatments. | 0.845 | 0.641 | 0.685 | |
| Our primary care team informs patients about any diagnosis in a way that they can understand. | 0.851 | 0.634 | 0.687 | |
| Our primary care team’s care coordination activities are based upon ongoing assessment of patient needs. | 0.893 | 0.522 | 0.517 | |
| Link to Community Resources (α = 0.819) | Someone on our primary care team encourages patients to attend programmes in their community, e.g. support or sports groups. | 0.782 | 0.796 | 0.817 |
| Someone on our primary care team gives patients information about additional supportive services offered at the practice or in their community, e.g. counselling programmes, support groups or rehabilitation programmes. | 0.790 | 0.771 | 0.815 | |
| Someone on our primary care team connects patients to needed services, e.g. transportation or home care. | 0.858 | 0.753 | 0.690 | |
| Someone on our primary care team asks patients about what they need for support, e.g. with home care, equipment or transportation. | 0.944 | 0.392 | 0.665 | |
| Information Technology for Quality Assurance (α = 0.680) | Our primary care team uses electronic data (e.g. diagnostical findings, lab results), to track quality indicators of patient care, e.g. percentage of patients with type 2 diabetes mellitus whose HbA1C was checked last year.P | 0.758 | 0.720 | 0.728 |
| Our primary care team uses an electronic health record system or other electronic systems to determine clinical outcomes.P | 0.845 | 0.613 | 0.677 | |
| Our primary care team uses an electronic health record system or other electronic systems to develop care plans.P | 0.856 | 0.585 | 0.698 | |
| Self-Management (α = 0.732) | Our practice has peer support readily available for patients as part of routine care. | 0.849 | 0.714 | 0.642 |
| Someone on our primary care team offers patients the opportunity to learn more about managing their health, e.g. with group appointments, support groups, or patient education.O | 0.816 | 0.657 | 0.694 | |
| Someone on our primary care team checks to see if patients are reaching their goals. | 0.913 | 0.548 | 0.734 | |
| Our practice has behaviour change interventions readily available for patients as part of routine care. | 0.834 | 0.530 | 0.650 | |
| Care Transitions (α = 0.808) | When patients are discharged from the hospital, our primary care team knows about new prescriptions or if there was a change in medication. | 0.723 | 0.849 | 0.876 |
| When patients are discharged from the hospital, our primary care team is informed about the care patients received from the hospital. | 0.770 | 0.833 | 0.826 | |
| When patients are discharged from hospital, our primary care team receives the discharge summaries in a timely manner. | 0.773 | 0.687 | 0.719 | |
| Accountability (α = 0.698) | Our primary care team is made up of members with clearly defined roles in caring for patients. | 0.723 | 0.776 | 0.691 |
| Our primary care team and the patients share responsibilities in managing patients’ health. | 0.661 | 0.728 | 0.669 | |
| Our primary care team works with patients to help them understand their roles and responsibilities in their care. | 0.855 | 0.587 | 0.740 | |
| Our primary care team is characterised by trusting collaboration. | 0.827 | 0.481 | 0.738 | |
| Information Technology Supporting Patient Care (α = 0.690) | Our primary care team uses an electronic patient chart or other electronic system, to support the documentation of patient needs.P | 0.776 | 0.779 | 0.659 |
| Our primary care team uses electronic data (e.g. diagnostical findings, lab results), to identify patients with complex health needs (e.g. multimorbity).P | 0.869 | 0.729 | 0.737 | |
| Our primary care team uses electronic data (e.g. diagnostical findings, lab results), to monitor the outcomes of patient treatment.P | 0.865 | 0.590 | 0.638 | |
N originally belonging to domain „self-management“
M originally belonging to domain „follow-up plan of care“
O originally belonging to domain „link to community resources“
P originally belonging to domain „IT capacity“