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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”

From: The facilitators and barriers associated with implementation of a patient-centered medical home in VHA

   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)
  1. aThe overall percentage of respondents who reported the barrier limited delivery of optimal patient-centered care a great deal
  2. bOdds ratios with 95 % confidence intervals that do not cross 1.0 are in italics