Research Article
Improving System Integration: The Art and Science of Engaging Small Community Practices in Health System Innovation
Table 3
(a) Strategy importance ratings,
initial interest in SCOPE (
). (b) Strategy importance ratings,
attendance at engagement events (
). (c) Strategy importance ratings,
decision to sign up for SCOPE (
). (d) Strategy importance rating,
continued participation in SCOPE (
).
(a) |
| Engagement strategy | Importance rating (/5) | Mean (SD) | Median (range) |
| The acknowledgment of the challenges of providing primary care in the community () | 4.38 (0.73) | 5 (3–5) | Involvement of family practice colleagues as members of the SCOPE team | 3.53 (1.04) | 4 (1–5) | Initial recruitment by a family physician | 3.27 (1.20) | 4 (1–5) | Face-to-face recruitment by SCOPE team | 3.23 (1.33) | 4 (1–5) | Involvement of hospital leaders, for example, CEO () | 3.28 (1.19) | 3 (1–5) |
|
|
Higher importance rating indicates greater perceived importance in influencing PCP decision-making.
|
(b) |
| Engagement strategy | Importance rating (/5) | Mean (SD) | Median (range) |
| The time of day the event was held (i.e., evening) () | 3.96 (1.00) | 4 (2–5) | The opportunity to network with primary care colleagues | 3.81 (0.94) | 4 (1–5) | Interaction with specialist colleagues | 3.81 (1.02) | 4 (1–5) | One-on-one conversation with the SCOPE primary care lead | 3.73 (1.12) | 4 (1–5) | CME (MAINPRO-C) credit | 3.05 (1.43) | 3 (1–5) | The availability of food at the event () | 2.64 (1.35) | 3 (1–5) |
|
|
(c) |
| Engagement strategy | Importance rating (/5) | Mean (SD) | Median (range) |
| Opportunity to provide better care to my patients | 4.90 (0.31) | 5 (4-5) | Access to clinical resources | | | Internist on-call | 4.50 (0.73) | 5 (3–5) | Nurse navigator | 4.43 (0.94) | 5 (1–5) | Homecare coordinator | 4.33 (0.92) | 5 (1–5) | Patient results online (PRO) | 4.33 (0.84) | 5 (2–5) | Opportunity to participate in health system change | 4.43 (0.73) | 5 (3–5) | Opportunity to improve linkages to my local hospital | 4.37 (0.85) | 4 (1–5) | Opportunity to provide input into the intervention | 3.84 (1.08) | 4 (1–5) | Inclusion of my front line staff in the recruitment process | 3.80 (1.19) | 4 (1–5) |
|
|
(d) |
| Engagement strategy | Importance rating (/5) | Mean (SD) | Median (range) |
| Positive personal experiences with SCOPE | 4.33 (0.80) | 4.5 (2–5) | Positive experiences for my patients with SCOPE | 4.33 (0.80) | 4.5 (2–5) | Monthly newsletter | 3.73 (0.98) | 4 (1–5) | In-person engagement events | 3.73 (0.91) | 4 (1–5) | Office visits by the SCOPE team | 3.67 (1.09) | 4 (1–5) |
|
|