BMC Health Serv Res 2024 (Jan 23); 24 (1): 125

Table 2.

Survey results for domain 1 (stepped care), domain 2 (resources), and domain 3 (benchmarking performance)

Question	Strongly Disagree	Disagree	Agree	Strongly Agree
Domain 1: Stepped Care (n = 24)
Patients in my clinical area would benefit from increased access to conservative approaches to spine care, such as physical therapy and chiropractic	1 (4.2%)	1 (4.2%)	7 (29.2%)	15 (62.5%)
Evidence-based spine care pathways are commonly followed in DUHS	3 (12.5%)	6 (25%)	9 (37.5%)	6 (25%)
Clinical care pathways are too difficult to implement and/or sustain in DUHS	4 (16.7%)	13 (54.2%)	3 (12.5%)	4 (16.7%)
DUHS has methods in place to support coordinated multidisciplinary care for spine patients	2 (8.3%)	7 (29.2%)	11 (45.8%)	4 (16.7%)
Primary care providers should recommend physical therapy before referring to specialty care	0 (0%)	2 (8.3%)	11 (45.8%)	11 (45.8%)
Primary care providers should recommend non-pharmacological spine care, such as yoga, massage, and chiropractic, before referring to specialty care	1 (4.2%)	4 (16.7%)	13 (54.2%)	6 (25%)
I know how to refer patients to self-care programs, such as yoga, exercise, and weight loss, within DUHS	2 (8.3%)	7 (29.2%)	10 (41.7)	5 (21%)
Domain 2: Resources (n = 23)
DUHS provides access to the full range of services needed by spine care patients in our community	1 (4.3%)	6 (26.1%)	14 (60.9%)	2 (8.7%)
I wish I had more resources to support me in making referrals for spine care patients in my practice	1 (4.3%)	7 (30.4%)	10 (43.5%)	5 (21.7%)
I need more information about non-pharmacological care to integrate this into my practice	1 (4.3%)	15 (65.2%)	7 (30.4%)	0 (0%)
I need more information about community resources for patients with spine conditions	1 (4.3%)	6 (26.1%)	13 (56.5%)	3 (13%)
I feel like the administrative insurance processes (i.e. benefits and authorization) are a barrier to my patient's care	0 (0%)	5 (21.7%)	13 (56.5%)	5 (21.7%)
Most patients expect to receive diagnostic imaging as part of their spine care treatment	0 (0%)	1 (4.3%)	13 (56.5%)	9 (39.1%)
Most patients expect to receive medication as part of their spine care treatment	0 (0%)	4 (17.4%)	13 (56.5%)	6 (26.1%)
Most patients expect to receive physical therapy as part of their spine care treatment	0 (0%)	8 (34.8%)	14 (60.9%)	1 (4.3%)
Most patients expect to receive chiropractic care as part of their spine care treatment	2 (8.7%)	20 (87%)	1 (4.3%)	0 (0%)
Domain 3: Benchmarking Performance (n = 23)
DUHS places too much emphasis on specialty care, such as surgery and injections, for spine patients	1 (4.3%)	12 (52.2%)	7 (30.4%)	3 (13%)
I am comfortable with my imaging ordering information being shared among providers in my division	0 (0%)	2 (8.7%)	12 (52.2%)	9 (39.1%)
I would reconsider some imaging requests if I knew my imaging order volume was substantially higher than my colleagues	1 (4.3%)	13 (56.5%)	7 (30.4%)	2 (8.7%)
I would reconsider some opioid prescribing if I knew my opioid prescribing volume was substantially higher than my colleagues	2 (8.7%)	5 (21.7%)	10 (43.5%)	6 (26.1%)
I am likely to give my imaging order a second thought if I see a Best Practice Advisory	3 (13%)	9 (39.1%)	10 (43.5%)	1 (4.3%)