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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.