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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
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 | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
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 |