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Table 4 Institutional Factors Associated with Adaptation Choice

From: Symptom management care pathway adaptation process and specific adaptation decisions

Characteristics*

Adopt

Adapt

Reject

Estimate ± SE

P Value**

 

N = 551

 N = 657

 N = 86

  
 

n (%)

n (%)

n (%)

  

Volume Pediatric Patients with Cancer Diagnosed Annually

   

-0.57 ± 0.63

0.369

 High

272 (49.4)

335 (51.0)

36 (41.9)

  

 Low

279 (50.6)

322 (49.0)

50 (58.1)

  

Proportion of Patients with Private Insurance

   

-0.86 ± 0.61

0.162

 High

277 (50.2)

336 (51.1)

34 (39.5)

  

 Low

274 (49.7)

321 (48.9)

52 (60.5)

  

Median Physician Years in Practice (IQR)

   

-1.00 ± 0.59

0.091

 High

302 (54.8)

330 (50.2)

33 (38.4)

  

 Low

249 (45.2)

327 (49.8)

53 (61.6)

  

Median Nurse Practitioner Years in Practice (IQR)

   

-1.00 ± 0.60

0.095

 High

330 (59.9)

403 (61.3)

41 (47.7)

  

 Low

221 (40.1)

254 (38.7)

45 (52.3)

  

Receive Support to Implement Care Pathways for Symptom Management

   

-0.71 ± 0.64

0.272

 Agree

336 (61.0)

389 (59.2)

59 (68.6)

  

 Disagree

215 (39.0)

268 (40.8)

27 (31.4)

  

Receive Recognition for Implementing Care Pathways for Symptom Management

   

0.78 ± 0.62

0.207

 Agree

287 (52.1)

331 (50.4)

35 (40.7)

  

 Disagree

264 (47.9)

326 (49.6)

51 (59.3)

  

Implementing Care Pathways for Symptom Management is a Top Priority of the Department

   

-0.59 ± 0.65

0.359

 Agree

328 (59.5)

391 (59.5)

58 (67.4)

  

 Disagree

223 (40.5)

226 (40.5)

28 (32.6)

  
  1. * Characteristics dichotomized at median value for the 10 institutions
  2. ** P value derived from a generalized linear mixed model treating statement and institution as random effects and the covariate of primary interest as a fixed effect where outcome was reject vs. no reject
  3. Abbreviations: IQR – interquartile range; SE – standard error