Domain | Element/Relationship | |||||
---|---|---|---|---|---|---|
Clinic/clinician | Patient | Community resource | Clinic/clinician—patient | Clinic/clinician—community resource | Patient—community resource | |
Ability to access primary care | * | ** | * | * | * | * |
Ability to access community resource | * | (1) 3** |
* | * | * | * |
Accessibility | ** | * | ** | * | * | * |
Assessment and goal setting | * | * | * | (1) 13** |
* | ** |
Capacity for self-management | * | ** | * | * | * | * |
Clinician experience | * | * | * | * | (3) 9,11,21** |
|
Communication and follow through/follow-up | * | * | * | * | * | ** |
Community resource experience | * | * | * | * | ** | * |
Cost/efficiency | * | * | * | ** | ** | ** |
Delivery of service | * | * | * | ** | * | ** |
Delivery system design | ** | * | ** | * | * | * |
Feedback and communication | * | * | * | * | (2) 12,20** |
* |
Health literacy | * | ** | * | * | * | * |
Information technology infrastructure | ** | ** | ** | * | * | * |
Informed and activated patient | * | * | * | (1) 5** |
* | ** |
Knowledge of and familiarity with community resources | (2) 10,22** |
** | * | * | * | * |
Marketing of services | * | * | ** | * | * | * |
Marketing results | * | * | ** | * | * | * |
Nature and strength of the inter-organizational relationship | * | * | * | * | ** | * |
Organizational infrastructure | ** | * | ** | * | * | * |
Outreach to obtain knowledge of and familiarity with community resources | ** | ** | * | * | * | * |
Patient-centeredness | * | * | * | ** | * | ** |
Patient experience | * | * | * | ** | * | ** |
Proactive and ready clinician | * | * | * | (2) 6,7** |
* | * |
Proactive and ready community resource | * | * | * | * | * | ** |
Readiness for behavior change | ** | (2) 2,18** |
** | * | * | * |
Referral process | * | * | * | (7) 1,4,8, 14,15,17, 21** |
** | (1) 16** |
Self-management support | * | * | * | ** | * | ** |
Service capacity | ** | * | ** | * | * | * |
Shared decision making | * | * | * | ** | * | * |
Stage of behavior change | ** | ** | ** | * | * | * |
Timeliness | * | * | * | * | ** | * |
Training | ** | * | ** | * | * | * |
Notes:
*Indicates that the domain does not apply to the element or relationship.
**Indicates that the domain does apply to the element or relationship. A blank cell indicates that no measures currently exist for the domain. The numbers in parentheses indicate the total existing measures for a specific domain and element/relationship. The measure names can be found in Table 5-1.