Mean scores on the practice monitor-evaluate scale: Respondents answered the question “Does your practice site use the following methods to monitor and/or evaluate the effectiveness of services/programs it offers?” using a 4-point Likert scale (1 = definitely not or never to 4 = definitely or always).
| TYPE OF ACTIVITY OR SCORE | CHC N = 34 | FFS AND FHG N = 34 | FHN N = 35 | HSO N = 31 | P VALUE |
|---|---|---|---|---|---|
| Surveys of the practice patients | 3.9 | 1.5 | 1.8 | 1.9 | < .001 |
| Community surveys | 3.5 | 1.5 | 1.5 | 1.5 | < .001 |
| Feedback from community organizations or community advisory boards | 3.5 | 1.6 | 1.6 | 1.8 | < .001 |
| Feedback from the practice staff | 3.7 | 3.2 | 2.9 | 3.4 | < .001 |
| Analysis of local data or vital statistics | 3.3 | 1.7 | 2.0 | 2.0 | < .001 |
| Systematic evaluations of the practice programs and services provided | 3.4 | 1.7 | 1.9 | 2.0 | < .001 |
| Community health workers | 3.6 | 1.7 | 1.6 | 2.2 | < .001 |
| Have a patient on the board of directors or advisory committee | 3.6 | 1.2 | 1.3 | 1.3 | < .001 |
| Other (please specify)* | 2 | 2 | 0 | 1 | NA |
| Overall monitor-evaluate score† | 0.85 | 0.45 | 0.47 | 0.53 | < .001 |
| Proportion of scores below 0.50 | 6 | 65 | 63 | 42 | < .001 |
| Proportion of practices indicating no activities | 3 | 3 | 3 | 0 | 0.82 |
CHC—community health centre, FFS—fee for service, FHG—family health group, FHN—family health network, HSO—health service organization, NA—not applicable, STIs—sexually transmitted infections, TB—tuberculosis.
↵* Number of practices providing a response.
↵† Overall score is the average score normalized (divided by 4).