Table 1.

Dimension and variable design questionnaire.

Dimensionality	Number	Variable	Questionnaire items	Variable
Organizational management	$M_1$	$X_1$	1.1 Department of chronic disease management job involvement	$x_{11}$
			1.2 Department of setting up chronic disease management goals	$x_{12}$
			1.3 Department of chronic disease management incentives and performance	$x_{13}$
			1.4 Head of department management attitude to chronic disease management	$x_{14}$
			1.5 Organizational structure of departmental chronic disease management	$x_{15}$
Medical service support	$M_2$	$X_2$	2.1 Support for chronic disease management training of medical staff in chronic disease management	$x_{21}$
			2.2 Query of knowledge about chronic disease management	$x_{22}$
			2.3 Chronic disease management service information system assistance in decision-making	$x_{23}$
Medical services	$M_3$	$X_3$	3.1 Nursing care	$x_{31}$
			3.2 Medication guidance	$x_{32}$
			3.3 Counseling	$x_{33}$
			3.4 Appointment for follow-up	$x_{34}$
			3.5 Comorbidity management	$x_{35}$
			3.6 Green channel for registration	$x_{36}$
			3.7 Medication supervision	$x_{37}$
			3.8 Chronic disease management service process standard	$x_{38}$
			3.9 Departments' understanding of patients' needs	$x_{39}$
			3.10 Response of departments to patients' needs	$x_{3.10}$
			3.11 Condition monitoring	$x_{3.11}$
			3.12 Internet prescription	$x_{3.12}$
Community alliance	$M_4$	$X_4$	4.1 Cooperation between departments and communities in chronic disease management	$x_{41}$
			4.2 Departmental mobilization of family members to participate in patient management	$x_{42}$
			4.3 Interdepartmental cooperation within the hospital in chronic disease management	$x_{43}$
			4.4 The department cultivates patients who are active in the group	$x_{44}$
			4.5 Cooperate with research team in chronic disease management	$x_{45}$
Self-management support	$M_5$	$X_5$	5.1 Department of patient work education	$x_{51}$
Management information system	$M_6$	$X_6$	6.1 Information support system for organization design of chronic disease management	$x_{61}$
			6.2 Information support system for decision support of chronic disease management	$x_{62}$
			6.3 Information system tips for chronic disease management	$x_{63}$
			6.4 Appointment and green channel system support for the registration of patients with chronic diseases	$x_{64}$
			6.5 Information system monitoring and early warning of chronic disease for patients	$x_{65}$
			6.6 Chronic disease information uploaded from the community	$x_{66}$
			6.7 Chronic disease patients' condition information is transmitted to the community	$x_{67}$
			6.8 Systematic description of the treatment process of patients with chronic diseases in hospital	$x_{68}$
			6.9 The information system assists medical staff to complete the education, consultation, and guidance of patients with chronic diseases	$x_{69}$
			6.10 The information system receives patient self-management feedback	$x_{6.10}$
Overall evaluation	$M_7$	$Y$	7.1 Overall evaluation of chronic disease management	$y$