Table 3 Structural and organisational characteristics of practices (N = 267)
No | Questionnaire items | Yes answers% | Factor loads |
|---|---|---|---|
Preventive services (PrevServ) - 13 Items | |||
1 | Is the CVD risk assessment tool integrated with the patient medical record system (e.g. so that the CVD event risk score is entered directly in to the patient’s medical record) | 51.3 | 0.770 |
*2 | Is CVD risk advice (e.g. about modifiable risk factors such as diet and exercise) integrated with the patient medical record system? | 51.7 | 0.706 |
3 | Did nurses take part in local/community campaigns or actions on CVD risk prevention (e.g. stop smoking campaigns, fun-runs etc.)? | 27.0 | 0.654 |
4 | Does the practice use a system for recalling populations at risk for preventive care regarding cardio- vascular diseases? | 52.1 | 0.601 |
5 | Is there in general a record in the electronic or paper based patient record that the CVD standardized risk assessment tool has been offered? | 48.7 | 0.577 |
6 | Do you offer regularly two or many consultations to provide advice on patients’ life style? | 58.1 | 0.564 |
*7 | Does the practice use case finding methods to detect patients with cardiovascular risk factors | 58.4 | 0.559 |
8 | Does the practice participate in public health care programmes on life style (physical exercise, stop smoking)? | 59.2 | 0.553 |
9 | Does the practice use a CVD standardized risk assessment tool? | 75.7 | 0.549 |
*10 | Does the practice have an up-to-date directory of prevention activities/organizations available locally (e.g. gyms, walking groups, weight-watchers etc.)? | 47.6 | 0.514 |
*11 | Did all nurses attend ≥ one training/continuing medical education event on CVD within the last 5 years? | 52.1 | 0.488 |
12 | Did your practice participate in a project concerning cardiovascular risk management the last 2Â years? | 35.2 | 0.445 |
*13 | Does the practice have a procedure for smoking cessation (e.g. Minimal Intervention Strategy)? | 71.9 | 0.410 |
Electronic medical record (EMR) -5 Items | |||
1 | Does the practice use a computer-supported patient file system? | 74.9 | 0.831 |
2 | Is the computer used for creating medication prescriptions? | 79.4 | 0.809 |
3 | Do the practice doctors have direct access to medical guidelines (either on paper or electronic) in their treatment rooms? | 92.1 | 0.666 |
4 | Does the practice have a procedure for the management of patient information in relation to the review of detailed examination results by the doctor (in terms of outgoing needs)? | 76.4 | 0.633 |
5 | Does the practice have a procedure for the management of patient information in relation to detailed examination results and the documentation of measures that were taken (e.g., blood examinations)? | 82.8 | 0.610 |
Chronic care management (CCM) - 6 Items | |||
1 | Does the practice use a system for recalling patients with diabetes? | 58.1 | 0.752 |
2 | Does the practice use a system for recalling patients with cardio vascular diseases? | 53.2 | 0.705 |
3 | Does the practice use a system for recalling patients with hypertension? | 48.3 | 0.642 |
4 | Did the practice participate in cardiovascular quality improvement projects? | 56.9 | 0.504 |
5 | Does the practice use a system for recalling populations at risk for preventive care regarding influenza? | 54.3 | 0.499 |
6 | Did the practice have a team meeting about quality improvement relating to CVD at least once in the last 15Â months? | 50.6 | 0.480 |
Quality management (QM) - 3 Items | |||
1 | Does the practice produce a quality report? | 34.5 | 0.711 |
2 | Has the practice undertaken at least one clinical audit in the last 12Â months? | 53.2 | 0.703 |
3 | Does the practice have a critical incident register? | 37.8 | 0.569 |