Strategies and Factors Associated With Top Performance in Primary Care for Diabetes: Insights From a Mixed Methods Study

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Figure 1.
The stages of diabetes care strategies.

Table 1

Quantitative Comparison of the 3 Interviewed Clinic Groups

Group^{^a}	No. of Clinics	Ranking (of 379)	Metropolitan, %	No. of Clinics in Care System, Mean (SD)	Patients on Medical Assistance, Mean % (SD)	MNCM Composite Score, Mean % (SD)	Priority for Improving Diabetes Care, Mean (SD)^{^b}	CMPs for Diabetes, Mean (SD)	CMPs Overall, Mean (SD)
High	8	6-93	50	40 (11-62)	13.0 (7-19)	54.8 (51.3-61.1)	9.2 (7-10)	66 (33-93)	62 (27-95)
Middle	6	139-257	33	44 (15-62)	10.0 (6-14)	45.6 (41.0-48.4)	8.5 (7-10)	72 (50-89)	68 (48-93)
Low	3	283-327	67	6 (1-15)	15.2 (9-19)	36.3 (33.3-39.1)	8.0 (7-10)	54 (43-64)	46 (37-57)
All interviewed clinics	17	6-327	53	38 (1-62)	12.3 (6-19)	48.3 (33.3-61.1)	8.4 (7-10)	66 (33-93)	61 (27-95)
All clinics in data set from which sample was drawn	379	1-379	41	33 (1-62)	13.9 (0-55)	44.8 (17.6-63.7)	8.4 (0-10)	68 (11-98)	65 (10-99)

Table 2

Code and Comment Frequency

Domain	All Clinics			Codes per Clinic, No.
Domain	Codes, No.	Comments, No.	Comments per Code, No.	High (n = 8)	Middle (n = 6)	Low (n = 3)
Traditional care management process strategies	7	41	5.9	1.9	3.3	2.0
Proactive outreach strategies	4	46	11.5	3.0	2.7	2.0
Facilitating factors - clinic	14	86	6.1	5.8	5.2	3.0
Facilitating factors - organizational	7	64	9.1	4.2	3.0	4.0
Barriers - clinic	11	50	4.5	2.2	3.0	4.7
Barriers - patient	4	29	7.3	1.8	2.0	1.0
Total	47	316	…	…	…	…