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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