Table 2 Survey results for domain 1 (stepped care), domain 2 (resources), and domain 3 (benchmarking performance)
Question | Strongly Disagree | Disagree | Agree | Strongly Agree |
|---|---|---|---|---|
Domain 1: Stepped Care (n = 24) | ||||
 Patients in my clinical area would benefit from increased access to conservative approaches to spine care, such as physical therapy and chiropractic | 1 (4.2%) | 1 (4.2%) | 7 (29.2%) | 15 (62.5%) |
 Evidence-based spine care pathways are commonly followed in DUHS | 3 (12.5%) | 6 (25%) | 9 (37.5%) | 6 (25%) |
 Clinical care pathways are too difficult to implement and/or sustain in DUHS | 4 (16.7%) | 13 (54.2%) | 3 (12.5%) | 4 (16.7%) |
 DUHS has methods in place to support coordinated multidisciplinary care for spine patients | 2 (8.3%) | 7 (29.2%) | 11 (45.8%) | 4 (16.7%) |
 Primary care providers should recommend physical therapy before referring to specialty care | 0 (0%) | 2 (8.3%) | 11 (45.8%) | 11 (45.8%) |
 Primary care providers should recommend non-pharmacological spine care, such as yoga, massage, and chiropractic, before referring to specialty care | 1 (4.2%) | 4 (16.7%) | 13 (54.2%) | 6 (25%) |
 I know how to refer patients to self-care programs, such as yoga, exercise, and weight loss, within DUHS | 2 (8.3%) | 7 (29.2%) | 10 (41.7) | 5 (21%) |
Domain 2: Resources (n = 23) | ||||
 DUHS provides access to the full range of services needed by spine care patients in our community | 1 (4.3%) | 6 (26.1%) | 14 (60.9%) | 2 (8.7%) |
 I wish I had more resources to support me in making referrals for spine care patients in my practice | 1 (4.3%) | 7 (30.4%) | 10 (43.5%) | 5 (21.7%) |
 I need more information about non-pharmacological care to integrate this into my practice | 1 (4.3%) | 15 (65.2%) | 7 (30.4%) | 0 (0%) |
 I need more information about community resources for patients with spine conditions | 1 (4.3%) | 6 (26.1%) | 13 (56.5%) | 3 (13%) |
 I feel like the administrative insurance processes (i.e. benefits and authorization) are a barrier to my patient's care | 0 (0%) | 5 (21.7%) | 13 (56.5%) | 5 (21.7%) |
 Most patients expect to receive diagnostic imaging as part of their spine care treatment | 0 (0%) | 1 (4.3%) | 13 (56.5%) | 9 (39.1%) |
 Most patients expect to receive medication as part of their spine care treatment | 0 (0%) | 4 (17.4%) | 13 (56.5%) | 6 (26.1%) |
 Most patients expect to receive physical therapy as part of their spine care treatment | 0 (0%) | 8 (34.8%) | 14 (60.9%) | 1 (4.3%) |
 Most patients expect to receive chiropractic care as part of their spine care treatment | 2 (8.7%) | 20 (87%) | 1 (4.3%) | 0 (0%) |
Domain 3: Benchmarking Performance (n = 23) | ||||
 DUHS places too much emphasis on specialty care, such as surgery and injections, for spine patients | 1 (4.3%) | 12 (52.2%) | 7 (30.4%) | 3 (13%) |
 I am comfortable with my imaging ordering information being shared among providers in my division | 0 (0%) | 2 (8.7%) | 12 (52.2%) | 9 (39.1%) |
 I would reconsider some imaging requests if I knew my imaging order volume was substantially higher than my colleagues | 1 (4.3%) | 13 (56.5%) | 7 (30.4%) | 2 (8.7%) |
 I would reconsider some opioid prescribing if I knew my opioid prescribing volume was substantially higher than my colleagues | 2 (8.7%) | 5 (21.7%) | 10 (43.5%) | 6 (26.1%) |
 I am likely to give my imaging order a second thought if I see a Best Practice Advisory | 3 (13%) | 9 (39.1%) | 10 (43.5%) | 1 (4.3%) |