Organizational factors and depression management in community-based primary care settings

Table 3 Organizational structure.

Factor		Responses
Resources
	Staffing: Volume and mix per office location	(N = 27 practices)
	Total # of persons	Mean ± SD	11.8 ± 9.8
	Ratio of (NP+PA) to MDs	Mean ± SD	0.12 ± 0.25
	Turnover: Proportion of practice staff who were not working in office 2 years ago	Mean ± SD	6.2 ± 12.3%
		Range	0% to 50%
		No turnover	44.4%
Factor		Responses	Practices	%
Resources
	Finances: Financial stress	Worry a little	11/27	40.7
		Worry a lot	1/27	3.7
		No worry	15/27	55.6
QI capability
	Office ever implemented a quality improvement program for chronic condition	Yes	22/27	81.5
		No	5/27	18.5
	Formal screening method for depression	Yes	20/27	74.1
		No	5/27	18.5
		Don't know	2/27	7.4
	Clinical reminders for depression care	Yes	4/27	14.8
		No	22/27	81.5
		Don't know	1/27	3.7
Performance Incentives
	Types of financial and non-financial incentives used in general and for depression care	Quality bonuses
		General	10/27	37.0
		Depression	3/27	11.1
		Productivity bonuses
		General	12/27	44.4
		Depression	2/27	7.4
		Compensation at risk
		General	5/27	18.5
		Depression	0/27	0.0
		Publicizing performance
		General	1/27	3.7
		Depression	1/27	3.7
		Insurance incentives
		General	18/27	66.7
		Depression	5/27	18.5
Factor		Responses	Offices	%
Information Technology (by office location)
	Use of electronic medical record	Yes	17/49 offices	34.7
		No	32/49 offices	65.3
	Registry for depressed patients	Yes	39/49 offices	79.6
		No	10/49 offices	20.4

ISSN: 1748-5908