Appendix Table A-1. Clinical-community relationships measurement framework
| Type of measures in measurement domain | Element | Relationship | ||||
|---|---|---|---|---|---|---|
| Clinic/ clinician | Patient | Community resource | Clinic/ clinician- patient | Clinic/ clinician- community resource | Patient- community resource | |
| Structure domains | Information technology infrastructure Service capacity Accessibility Training Delivery system design Organizational infrastructure |
Information technology infrastructure Capacity for self-management Ability to access primary care Ability to access the community resource Health literacy |
Information technology infrastructure Service capacity Accessibility Training Delivery system design Organizational infrastructure |
Proactive and ready clinician Informed and activated patient |
Nature and strength of the inter-organizational relationship | Proactive and ready community resource Informed and activated patient |
| Process domains | Readiness for behavior change Outreach to obtain knowledge of and familiarity with community resources |
Readiness for behavior change Outreach to obtain knowledge of and familiarity with community resources |
Readiness for behavior change Marketing of services |
Referral process Assessment and goal setting Self-management support Shared decision- making |
Referral process Feedback and communication Timeliness |
Referral process Assessment and goal setting Self-management support Communication and follow- through/follow-up |
| Outcome domains | Stage of behavior change Knowledge of and familiarity with community resources |
Stage of behavior change Knowledge of and familiarity with community resources |
Stage of behavior change Marketing results |
Patient experience Cost/efficiency Delivery of service Patient- centeredness |
Clinician experience Community resource experience Cost/efficiency |
Patient experience Cost/efficiency Delivery of service Patient- centeredness |
