Dimensions of practice management; 566 practices | Number of indicators/dimension | Cron-bach's Alpha | Trop. exp 91 practices | Without trop. exp 475 practices | P-value |
---|---|---|---|---|---|
I Infrastructure of the practice | Â | Â | Â | Â | Â |
Hygiene and facilities in treatment room | 8 | .37 | 63,4% | 58,4% | .001 |
Emergency facilities | 10 | .60 | 61,8% | 65% | Â |
Advanced medical equipment in the practice | 7 | .49 | 49,4% | 49,8% | Â |
Number of ophthalmological diagnostics | 7 | .55 | 43,4% | 43,9% | Â |
Laboratory test facilities in the practice | 8 | .68 | 65,7% | 62,5% | Â |
Patient score on organization of surgeries/availability * | 6 | .72 | 141,1 | 159,4 | .02 |
Organization of the practice | 11 | .56 | 56,2% | 51,1% | .001 |
Patient wants more consultation time | 1 | - | 21,5% | 19% | .001 |
Supply of preventive care | 9 | .54 | 59,3% | 61% | Â |
II Team (Delegation and collaboration) | Â | Â | Â | Â | Â |
No of delegated medical administrative tasks | 12 | .77 | 60,5% | 61,8% | Â |
Monitoring patients with chronic disease & prevention | 11 | .75 | 39,3% | 44% | Â |
Collaboration in GP group | 11 | .68 | 70,1% | 69,3% | Â |
Protocols on collaboration with hospital & specialists | 7 | .59 | 61,4% | 53,8% | .01 |
III Communication and patient records | Â | Â | Â | Â | Â |
Use of EMD by the GP | 9 | .61 | 62,1% | 65,1% | .04 |
Quality of the EMD | 4 | .64 | 66,2% | 63,9% | Â |
Patient finds GP information in consultation adequate | 3 | .55 | 54,3% | 56,2% | Â |
IV Quality improvement | Â | Â | Â | Â | Â |
Audit, assessment and other QI in the GP-group | 8 | .66 | 55,7% | 50,8% | Â |
Quality assurance in the practice | 10 | .58 | 38,4% | 34,4% | Â |
No. of hours/year of accredited post graduate training | 1 | hours | 55,2% | 53,5% | Â |
   Jobstress (GP level) |  |  | 111 GPs | 893 GPs |  |
Job satisfaction: pleasure, interest, commitment | 4 | .72 | 8,1 | 7,9 | Â |
Inappropriate demands by patients | 4 | .67 | 11,7 | 11,7 | Â |
Experienced workload (feeling the end of the day) | 16 | .93 | 66,0 | 67,7 | Â |
   Workload (calculated for full timers ≥ 90% fte) |  |  | 49 GPs | 492 GPs |  |
Time spent on direct contact with patients (hrs/wk) | Â | hours | 32,6 | 34,4 | Â |
Total of hours per week of practice activities | Â | hours | 52,5 | 53,8 | Â |
Total workload in hrs/wk minus wanted workload | Â | hours | 10,1 | 11,3 | Â |
Time spent on QI (inc. Reading, CME etc.) | Â | hours | 3,4 | 3,7 | Â |