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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