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Table 2 Interactional and organizational factors and knowledge of coordination mechanisms, by level of care

From: Do primary and secondary care doctors have a different experience and perception of cross-level clinical coordination? Results of a cross-sectional study in the Catalan National Health System (Spain)

 

Total

PC

SC

 

(N = 3308)

(N = 1141)

(N = 2167)

n (%)

n (%)

n (%)

p

Interactional factors between doctors

I know the doctors of the other care level who see my patients personallya

1103 (39.06)

442 (44.02)

661 (36.32)

< 0.001

I trust in the clinical skills of the doctors of the other level who see my patientsa

2429 (88.62)

971 (97.20)

1458 (83.70)

< 0.001

My daily practice influences the practice of the doctors of the other levela

1834 (78.61)

554 (66.19)

1280 (85.56)

< 0.001

In practice, primary care doctors are responsible for coordinating the patient on their way through the different levels of carea

2189 (81.92)

950 (95.19)

1239 (74.01)

< 0.001

Organizational factors

My organization’s management facilitates coordination between primary and secondary care doctorsa

1492 (59.18)

665 (67.44)

827 (53.88)

< 0.001

My organization sets objectives that are aimed at coordination between care levelsa

1370 (55.20)

540 (56.72)

830 (54.25)

0.228

The time I can dedicate to coordinating with doctors of the other level during my working day is sufficient a

380 (13.90)

136 (13.67)

244 (14.03)

0.792

As a secondary care doctor, do you do patient consultations in a primary care centre?a

  

386 (21.44)

 

Knowledge of the coordination mechanisms available in the area

The electronic medical records that you use in your centre allows you to share information between primary and secondary (hospital, long-term) careb

2623 (89.92)

918 (87.60)

1705 (91.23)

0.002

In your centre, you can hold virtual consultations through the EMR between primary and secondary care doctorsb

1795 (72.55)

841 (83.18)

954 (65.21)

< 0.001

In your centre, you can hold consultations via e-mail between primary and secondary care doctorsb

1885 (75.98)

792 (79.52)

1093 (73.60)

0.001

In your centre, you can hold consultations via phone between primary and secondary care doctorsb

2085 (79.73)

700 (71.72)

1385 (84.50)

< 0.001

In your centre, you hold joint clinical case conferences between primary and secondary care doctors for the discussion of casesb

1226 (43.50)

696 (66.60)

530 (29.91)

< 0.001

In your centre, you have at your disposal shared protocols, care pathways or clinical practice guidelines between primary and secondary careb

1847 (74.99)

940 (92.16)

907 (62.86)

< 0.001

There are case managers or liaison nurses at your centreb

2031 (80.28)

876 (87.43)

1155 (75.59)

< 0.001

Primary care doctors are informed when their patients are discharged from the hospitala

1105 (43.61)

677 (64.05)

428 (28.98)

< 0.001

  1. a Results correspond to the categories always and very often
  2. b Results correspond to the category yes