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Table 3 Item descriptions and analyses for integration dimension: clinical infrastructure (n = 928)

From: Integration in primary community care networks (PCCNs): examination of governance, clinical, marketing, financial, and information infrastructures in a national demonstration project in Taiwan

Item Descriptions

Clinic-clinic

Relationship (1)

Clinic-hospital

Relationship (2)

 
  

Frequency (%)

Frequency (%)

Pair-t tests

  

never thinking

brain storming

acting

never thinking

brain storming

acting

 

20

Plan and differentiate market areas based on the clinical services of the network members

45.80

21.77

32.44

43.86

21.66

34.48

(1)<(2)**

21

Unite individual clinical professionals to plan the certain projects

34.59

34.16

31.25

33.30

32.76

33.94

(1)<(2)*

22

Design the patient-centered case management teams

44.40

27.59

28.02

40.63

28.77

30.60

(1)<(2)***

23

Hold the patient-centered case report meetings

30.93

23.81

45.26

24.46

24.78

50.75

(1)<(2)***

24

Establish the committee responsible for case referral, transfer, and tracing

16.59

17.46

65.95

7.54

14.66

77.80

(1)<(2)***

25

Establish the committee responsible for file management (record and information exchanges)

19.18

20.04

60.78

9.70

17.13

73.17

(1)<(2)***

26

Coordinate clinical services within the network

17.13

20.91

61.96

10.56

19.29

70.15

(1)<(2)***

27

Redesign the clinical services to avoid the redundancy

33.73

22.41

43.86

28.77

21.88

49.35

(1)<(2)***

28

Appropriately share clinical resources within the network

15.52

21.23

63.25

8.51

18.64

72.84

(1)<(2)***

29

Appropriately integrate the clinical services of network members to achieve cost effectiveness of patient care

23.06

19.61

57.33

14.22

18.64

67.13

(1)<(2)***

30

Establish and share the experience of quality assurance and improvements

18.21

21.23

60.56

11.85

19.61

68.53

(1)<(2)***

31

Establish two-direction communication channels for securing clinical quality

19.83

21.66

58.51

11.53

18.53

69.94

(1)<(2)***

32

Integrate the activities of quality assurance, quality improvement, risk management, and utilization review

25.22

25.86

48.92

18.00

22.31

59.70

(1)<(2)***

33

Establish the policy and principals of quality assurance and improvements

25.11

29.20

45.69

18.00

25.86

56.14

(1)<(2)***

34

Unite medical continuing education and on-job education

15.73

14.01

70.26

5.93

10.88

83.19

(1)<(2)***

35

Establish patient information of referrals

9.59

14.66

75.75

3.23

10.45

86.31

(1)<(2)***

36

Design clinical guidelines

25.00

20.91

54.09

17.24

19.18

63.58

(1)<(2)***

37

Design two-directed patient referral systems

10.13

12.93

76.94

4.31

10.24

85.45

(1)<(2)***

38

Establish lab/exam referral systems

20.80

18.00

61.21

7.54

13.69

78.77

(1)<(2)***

39

Integrate medical records to decrease unnecessary medicine, test, and labs

28.99

25.22

45.80

20.91

25.43

53.66

(1)<(2)***

40

Hold quality relevant symposium

19.94

17.56

62.50

13.47

17.13

69.40

(1)<(2)***

41

Establish quality indicators

19.40

20.47

60.13

16.16

18.86

64.98

(1)<(2)***

42

Establish the reasonable values or thresholds for the designed quality indicators

20.80

22.09

57.11

17.03

21.55

61.42

(1)<(2)***

43

Routinely monitor and analyze quality indicators

22.74

22.95

54.31

18.86

22.09

59.05

(1)<(2)***

44

Establish committees to deal with medical malpractice

48.38

21.66

29.96

44.72

22.09

33.19

(1)<(2)***

  1. Note:
  2. 1. Paired t test: *p < 0.05; **p < 0.01; ***p < 0.001
  3. 2. Items measured as scale 0 (never thinking), 1 (brain storming), 2 (developing), and 3 (completely acting). And for frequency counts, "acting" was counted by adding the items "developing" and "completely acting" together.