Table 5 Odds of a respondent’s clinic having a low-Pi2 (vs. high-Pi2) score as a function of reporting that barriers limited delivery of optimal patient-centered care “a great deal”
ICC | Low Pi2 vs. high Pi2 | ||||
|---|---|---|---|---|---|
%a | Clinic | Occup. | Odds ratio | 95 % CIb | |
Lack of support from clinical leadership | 34.3 | 0.10 | 0.01 | 2.15 | (1.21, 3.82) |
Difficulty accessing specialist care | 43.1 | 0.14 | 0.01 | 1.52 | (0.87, 2.66) |
Poor communication with specialists within VA | 38.7 | 0.13 | 0.02 | 1.26 | (0.68, 2.35) |
Poor communication with specialists outside the VA | 35.2 | 0.05 | 0.00 | 1.47 | (0.93, 2.31) |
Poor communication around inpatient care | 25.1 | 0.08 | 0.01 | 1.21 | (0.59, 2.47 |
Lack of control over my schedule | 34.7 | 0.10 | 0.03 | 1.98 | (1.15, 3.43) |
Lack of responsiveness to my requests for assistance from my team members | 24.0 | 0.06 | 0.01 | 1.65 | (0.99, 2.78) |
Inadequate time allotted to provide counseling or education | 36.9 | 0.05 | 0.01 | 1.24 | (0.79, 1.95) |
Inadequate time allotted to provide follow-up care | 37.3 | 0.09 | 0.01 | 1.59 | (0.97, 2.61) |
Patients have limited VA benefits | 24.2 | 0.03 | 0.02 | 1.59 | (0.95, 2.67) |
Preferred medications are difficult to obtain | 28.4 | 0.10 | 0.00 | 1.21 | (0.74, 2.00) |
Inadequate support for patient behavioral change needs | 26.4 | 0.09 | 0.00 | 2.15 | (1.36, 3.38) |
Recruiting and retaining providers | 59.5 | 0.27 | 0.00 | 2.37 | (1.29, 4.33) |
Recruiting and retaining non-provider clinicians | 49.5 | 0.16 | 0.00 | 2.17 | (1.17, 4.00) |
Recruiting and retaining non-clinicians | 43.0 | 0.10 | 0.01 | 1.96 | (1.09, 3.53) |
Clinical reminder volume | 54.0 | 0.08 | 0.05 | 1.31 | (0.75, 2.27) |
Delivering opiate therapy | 38.9 | 0.08 | 0.04 | 1.55 | (0.84, 2.86) |
Time & effort to input notes | 35.2 | 0.05 | 0.04 | 1.16 | (0.66, 2.05) |
High volume of Computerized Patient Record System (CPRS) alerts | 41.5 | 0.08 | 0.05 | 1.48 | (0.79, 2.77) |