Table 2 Statements in the CG-Questionnaire, rubricated in accordance with the Kralewski dimensions (* adapted statements from/** added statements to the original Kralewski questionnaire)

Collegiality

1

There is a great deal of informal consultation.

7

There is a close collegial relationship among the physicians.

12

There is a strong sense of belonging to the group.

Information emphasis

2

We rely heavily on computer-based information when seeing a patient.

8

We have very good methods to assure that our physicians change their practices to include new technologies and research findings.

Quality emphasis

4

We encourage internal reporting of patient care adverse events.

9

There is an open discussion about clinical failures.

13

We emphasize patient satisfaction.

Management style

5

The business office and administration are considered to be a very important part of our hospital.

16

We expect our administrators to obtain and provide us with information that helps us improve the cost-effectiveness of our patient care.

Cohesiveness

10

There is widespread agreement about most moral/ethical issues.

14

A rapid change occurs in clinical practice among our physicians when studies indicate that we can improve quality/reduce costs.

Business emphasis

15*

When purchasing medical equipment, financial considerations are an important factor.

17**

We only hire an extra physician if he/she is cost-effective.

Organizational trust

3

Our compensation plan rewards physicians who work hard for our hospital.

18**

There is a high degree of trust in the decisions made by the board of directors.

Innovativeness

11

Innovations by our medial doctors are highly publicized.

19**

Our policy plans always mention innovative health care items.

Autonomy

6

There is a feeling that physicians are autonomous but practice in the same organization for support services

20**

The professional autonomy of physicians is an important condition for the quality of health care.