Factors and elements influencing successful interprofessional collaborative practice in 4 family medicine academic teaching clinics*: Clinics were rated on a scale ranging from low performance (1) to high performance (5); κ = 0.67 for interrater reliability.
FACTORS AND ELEMENTS | RATER | CLINIC A | CLINIC B | CLINIC C | CLINIC D |
---|---|---|---|---|---|
Factor 1: shared goals and vision | |||||
Shared patient-oriented goals and vision | 1st rater | 4 | 5 | 1 | 1 |
2nd rater | 4 | 5 | 2 | 2 | |
Average | 4 | 5 | 1.5 | 1.5 | |
Communication | 1st rater | 4 | 5 | 2 | 2 |
2nd rater | 4 | 5 | 3 | 2 | |
Average | 4 | 5 | 2.5 | 2 | |
Shared decision making | 1st rater | 4 | 4 | 1 | 1 |
2nd rater | 5 | 4 | 3 | 3 | |
Average | 4.5 | 4 | 2 | 2 | |
Factor 2: sense of belonging | |||||
Trust and a trusting relationship | 1st rater | 5 | 5 | 2 | 1 |
2nd rater | 5 | 5 | 3 | 3 | |
Average | 5 | 5 | 2.5 | 2 | |
Willingness to collaborate | 1st rater | 5 | 5 | 2 | 1 |
2nd rater | 5 | 5 | 4 | 3 | |
Average | 5 | 5 | 3 | 2 | |
Understanding roles and responsibilities | 1st rater | 5 | 5 | 2 | 2 |
2nd rater | 5 | 4 | 3 | 2 | |
Average | 5 | 4.5 | 2.5 | 2 | |
Factor 3: governance | |||||
Location | 1st rater | 4 | 4 | 3 | 3 |
2nd rater | 4 | 4 | 2 | 4 | |
Average | 4 | 4 | 2.5 | 3.5 | |
Leadership | 1st rater | 5 | 5 | 1 | 1 |
2nd rater | 5 | 5 | 3 | 2 | |
Average | 5 | 5 | 2 | 1.5 | |
Team meetings | 1st rater | 2 | 3 | 1 | 1 |
2nd rater | 5 | 5 | 2 | 2 | |
Average | 3.5 | 4 | 1.5 | 1.5 | |
Training and education for teamwork | 1st rater | 2 | 2 | 1 | 1 |
2nd rater | 5 | 3 | 2 | 2 | |
Average | 3.5 | 2.5 | 1.5 | 1.5 | |
Factor 4: structuring clinical care | |||||
Collegial development of protocols, practice manuals, and procedures | 1st rater | 5 | 5 | 1 | 1 |
2nd rater | 5 | 5 | 3 | 2 | |
Average | 5 | 5 | 2 | 1.5 |
↵* Agreement weights were calculated as 1−{(i−j)/(k−1)}2, where i and j index the weight matrix and k represents the number of possible ratings (in this case 5).