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Table 3 Results of the national Delphi and international Delphi study 1 and 2

From: Towards an international taxonomy of integrated primary care: a Delphi consensus approach

Initial taxonomy of key features

Identification appropriateness and categorisation of key features

Literature review and thematic analysis

National Delphi study

Delphi study 1

Delphi study 2

  

Round 1 (n = 16)

Round 2 (n = 15)

 

Round 1 (n = 8)

Round 2 (n = 8)

  

Initial taxonomy of key features#

Final consensus#

Panel median (30th and 70th percentile)

Agreed (%)

Panel median (30th and 70th percentile)

Agreed (%)

Final consensus

Categorisation

Categorisation

Agreed (%)

Final consensus

Clinical integration

          

1. Centrality of client needs

Appropriate

8 (8 − 8.9)

93.8

N/A

N/A

Appropriate

PP

 

75

Yes

2. Case management

Appropriate

8 (7.1 − 8)

75

N/A

N/A

Appropriate

CI

 

62.5

Yes

3. Patient education

Equivocal

7 (6 − 8)

62.5

8 (7 − 8.2)

80

Appropriate

PP

 

75

Yes

4. Client satisfaction

Equivocal

8 (7.1 − 8)

87.5

N/A

N/A

Appropriate

PP

 

62.5

Yes

5. Continuity

Appropriate

8.5 (8 − 9)

93.8

N/A

N/A

Appropriate

CI

 

62.5

Yes

6. Interaction between professional and client

Appropriate

7 (6.1 − 7.9)

68.8

7 (7 − 8)

86.7

Appropriate

 

CI

62.5

Yes

7. Individual multidisciplinary care plan

Appropriate

8 (7 − 8.9)

93.8

N/A

N/A

Appropriate

CI

 

62.5

Yes

8. Information provision to clients

Equivocal

6.5 (5 − 7)

50

7 (5.8 − 8)

66.7

Equivocal

N/A

N/A

N/A

N/A

9. Comprehensive care servicesaa

Appropriate

7 (6 − 8)

62.5

8 (7 − 9)

80

Appropriate

  

DA

No

10. Client participation

Equivocal

8 (7 − 8)

75

N/A

N/A

Appropriate

PP

 

62.5

Yes

11. Population needs

Appropriate

8 (7.1 − 9)

81.3

N/A

N/A

Appropriate

PP

 

87.5

Yes

12. Self-managementa

Equivocal

7 (6.1 − 7.9)

68.8

8 (7 − 8)

93.3

Appropriate

PP

 

75

Yes

Professional integration

          

13. Inter-professional education

Appropriate

7 (6 − 7.9)

62.5

7 (6.8 − 8)

73.3

Appropriate

 

PI

62.5

Yes

14. Shared vision between professionals

Appropriate

8 (8 − 9)

93.8

N/A

N/A

Appropriate

 

NI

75

Yes

15. Agreements on interdisciplinary collaboration

Appropriate

7 (7 − 7.9)

75

N/A

N/A

Appropriate

 

PI

87.2

Yes

16. Multidisciplinary guidelines and protocols

Appropriate

7.5 (7 − 8)

75

N/A

N/A

Appropriate

  

DA

No

17. Inter-professional governance

Appropriate

7 (7 − 7.9)

75

N/A

N/A

Appropriate

 

OI

62.5

Yes

18. Interpersonal characteristicsa

Equivocal

7 (6 − 7.9)

56.3

7 (6 − 7)

53.3

Equivocal

N/A

N/A

N/A

N/A

19. Professional leadershipa

Equivocal

7.5 (6.1 − 8)

68.8

8 (6.8 − 9)

73.3

Appropriate

  

DA

No

20. Environmental awareness

Equivocal

5 (5 − 6)

75

6 (5 − 7)

53.3

Equivocal

N/A

N/A

N/A

N/A

21. Value creation for the professional

Appropriate

7 (6 − 7)

62.5

8 (7 − 9)

100

Appropriate

PI

 

75

Yes

22. Performance management

Equivocal

7 (7 − 8)

75

N/A

N/A

Appropriate

 

PP

87.5

Yes

23. Creating interdependence between professionalsa

Equivocal

7 (6 − 8)

62.5

7 (7 − 8)

86.7

Appropriate

PI

 

62.5

Yes

Organisational integration

          

24. Value creation for organisation

Equivocal

8 (7 − 8)

75

N/A

N/A

Appropriate

  

DA

No

25. Inter-organisational governance

Appropriate

8 (8 − 9)

81.3

N/A

N/A

Appropriate

OI

 

75

Yes

26. Informal managerial network

Equivocal

6 (6 − 7)

43.8

5 (3 − 6)

53.3

Equivocal

N/A

N/A

N/A

N/A

27. Interest managementa

Appropriate

7 (6.1 − 7.9)

68.8

7 (7 − 7.2)

86.7

Appropriate

  

DA

No

28. Performance managementa

Appropriate

7 (6 − 7)

62.5

6 (6 − 7)

46.7

Equivocal

OI

 

62.5

Yes

29. Population needs as binding agent

Appropriate

8 (7 − 8)

75

N/A

N/A

Appropriate

PP

 

75

Yes

30. Organisational featuresa

Equivocal

6.5 (5.1 − 7)

31.3

6 (4 − 7)

46.7

Equivocal

N/A

N/A

N/A

N/A

31. Inter-organisational strategy

Appropriate

7.5 (7 − 8)

75

N/A

N/A

Appropriate

OI

 

62.5

Yes

32. Managerial leadership

Appropriate

7 (6 − 8)

62.5

8 (7 − 9)

86.7

Appropriate

  

DA

No

33. Learning organisations

Appropriate

7.5 (7 − 8)

81.3

N/A

N/A

Appropriate

 

FI

62.5

Yes

34. Co-location policya

Equivocal

5.5 (5 − 6)

62.5

6 (4.8 − 7)

40

Equivocal

N/A

N/A

N/A

N/A

35. Skills managementa

Appropriate

7 (6 − 7)

56.3

7 (6 − 7)

66.7

Equivocal

PI

 

62.5

Yes

36. Creating interdependence between organisationsa

Equivocal

7 (6 − 8)

56.3

7 (7 − 8)

80

Appropriate

OI

 

62.5

Yes

System integration

          

37. Social value creationa

Equivocal

8 (7 − 8)

75

N/A

N/A

Appropriate

 

PP

75

Yes

38. Available resources

Equivocal

6 (5 − 7)

43.8

6 (4.8 − 7)

53.3

Equivocal

N/A

N/A

N/A

N/A

39. Population features

Equivocal

6 (4.1 − 7)

31.3

7 (5.6 − 8)

60

Equivocal

N/A

N/A

N/A

N/A

40. Stakeholder management

Appropriate

8 (7 − 8.9)

87.5

N/A

N/A

Appropriate

  

DA

No

41. Good governance

Equivocal

7 (6.1 − 7)

68.8

7 (7 − 8)

86.7

Appropriate

  

DA

No

42. Environmental climate

Equivocal

6 (6 − 7)

50

7 (7 − 8.2)

80

Appropriate

SI

 

75

Yes

43. Incentive systemsb

N/A

N/A

N/A

8 (8 − 9)

93.3

Appropriate

 

FI

87.5

Yes

44. Community participationb

N/A

N/A

N/A

8 (7 − 8)

93.3

Appropriate

  

DA

No

45. Universal health coverageb

N/A

N/A

N/A

7 (5 − 7)

66.7

Equivocal

N/A

N/A

N/A

N/A

46. Single point of accessb

N/A

N/A

N/A

6 (5 − 7)

53.3

Equivocal

N/A

N/A

N/A

N/A

47. Alignment of regulatory frameworksb

N/A

N/A

N/A

7 (7 − 8)

93.3

Appropriate

 

SI

75

Yes

Functional integration

          

48. Human resource managementa

Equivocal

6.5 (6 − 7)

37.5

6 (4 − 7)

46.7

Equivocal

N/A

N/A

N/A

N/A

49. Information management

Appropriate

8 (7.1 − 9)

81.3

N/A

N/A

Appropriate

FI

 

62.5

Yes

50. Resource management

Equivocal

6 (5 − 7)

50

5 (3.8 − 7)

40

Equivocal

N/A

N/A

N/A

N/A

51. Support systems and services

Equivocal

5.5 (5 − 6)

68.8

5 (3 − 6)

60

Equivocal

N/A

N/A

N/A

N/A

52. Service management

Appropriate

6 (6 − 7)

43.8

6 (6 − 7)

40

Equivocal

 

FI

100

Yes

53. Regular feedback of performance indicatorsa

Appropriate

7 (6.1 − 8)

68.8

7 (7 − 9)

86.7

Appropriate

 

FI

87.5

Yes

Normative integration

          

54. Collective attitude

Appropriate

7 (6 − 8)

62.5

7 (6 − 8)

66.7

Equivocal

NI

 

75

Yes

55. Sense of urgency

Appropriate

7 (6.1 − 8)

68.8

7 (5.8 − 8)

66.7

Equivocal

  

DA

No

56. Reliable behaviour

Appropriate

7.5 (7 − 8)

81.3

N/A

N/A

Appropriate

 

NI

62.5

Yes

57. Conflict management

Equivocal

7 (6.1 − 8)

68.8

8 (7 − 8.2)

80

Appropriate

 

OI

62.5

Yes

58. Visionary leadershipa

Appropriate

7.5 (6.1 − 8.9)

68.8

9 (8 − 9)

86.7

Appropriate

 

NI

75

Yes

59. Shared vision

Appropriate

7.5 (7 − 8)

87.5

N/A

N/A

Appropriate

NI

 

75

Yes

60. Quality features of the informal collaboration

Appropriate

7 (6 − 8)

62.5

7 (6.8 − 8)

73.3

Appropriate

  

DA

No

61. Linking cultures

Appropriate

7 (7 − 8)

75

N/A

N/A

Appropriate

NI

 

75

Yes

62. Reputation

Inappropriate

5.5 (5 − 7)

50

6 (3.8 − 7)

40

Equivocal

N/A

N/A

N/A

N/A

63. Transcending domain perceptions

Appropriate

8 (7.1 − 9)

93.8

N/A

N/A

Appropriate

  

DA

No

64. Trust

Appropriate

8 (8 − 9)

87.5

N/A

N/A

Appropriate

 

OI

75

Yes

  1. N/A not applicable, DA disagreement, CI clinical integration, PI professional integration, OI organisational integration, SI system integration, FI functional integration, NI normative integration, PP person-focused and population-based care
  2. #Results are adapted from Valentijn et al. [6]
  3. aAdjustment description Delphi study 1
  4. aaRefinement description Delphi study 2
  5. bNewly added key features after Round 1 of Delphi study 2
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