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Table 2 Constructs distribution across models of team health care practice

From: Practitioners' validation of framework of team-oriented practice models in integrative health care: a mixed methods study

MTHP hypothesis

As integration increases... (i.e. Moving along the continuum from Group A to Group C models...)

Scale*

Group A

Median (IQR)

Group B

Median

(IQR)

Group C

Median (IQR)

p-value

Hypothesis supported (quantitative results)

Hypothesis supported (qualitative results)

Diversity of health care philosophy and involvement of each team member increase (Philosophy and values 1)

Beliefs in benefits of interprofessional collaboration

4.7 (3.9, 5)

5 (4.6, 5)

5 (4.9, 5)

0.029

Reliance on the biomedical model decreases (Philosophy and values 2)

Knowledge of each other's healing approach

14 (11.8, 15)

14 (12, 15)

15 (12, 15)

0.889

 

Trust and respect among members increase (Structure 1)

Trust

21 (19, 24)

24 (22, 25)

25 (22.3, 25)

0.034

N/A

Complexity of the organizational structure of the clinic increases (Structure 2)

      

Presence of hierarchical links and defined roles between practitioners decrease (Structure 3)

     

N/A

 

The communication process increases (Process 1)

Knowledge donating

3.8 (3.5, 4.2)

4.3 (3.8, 4.8)

4.8 (4.1, 5.0)

< 0.001

 
 

Knowledge collecting

4 (3.7, 4.7)

4.7 (4, 5)

5 (4.3, 5)

0.014

 

Practitioner autonomy decreases (Process 2)

Physician centrality

10.5

(9.8, 14)

8 (5, 12)

8 (3, 12)

0.169

 

Respect for diversity of opinions and importance for consensus-based decisions increases (Process 3)

Conflict associated with interprofessional collaboration

2.6 (1.3, 3.1)

1.4 (1, 1.8)

1.4 (1, 2)

0.030

N/A

Complexity and diversity of the outcomes increase (Outcomes 1)

Satisfaction

4.7 (3.8, 5)

4.8 (4.3, 5)

5 (5, 5)

0.015

 
 

Personal growth

4.6 (4, 5)

4.4 (4.1, 4.8)

5 (4.5, 5)

0.002

 

Intention to leave in the following year

1.3 (1, 2.3)

1.3 (1, 2)

1 (1, 1)

0.040

  
  1. * Scores were calculated from the average of scale items from a negative anchor (1) to a positive anchor (5) or from the total score of the items from the same anchors. The sum of the items is presented for the Physician centrality scale from a negative anchor (0) to a positive anchor (4) for a maximum score of 24. The maximum score for the Knowledge of each other's healing approach was 15.
  2. N/A = not available