Analysis Plan- Attachment F

G_Analysis Plan.docx

Providing Primary Care and Preventive Medical Services in Ryan White Funded Medical Care Settings

Analysis Plan- Attachment F

OMB: 0906-0018

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Attachment G: Analysis Plan

Protocol for providing primary care services, including preventive services, for PLWH?

Research Question

Clinician

Clinical Director

Medical Director

Data Extract

Analyses

Does the clinic have specific protocols for routine health care maintenance services, routine laboratory assessments, and diagnostic screenings?

5

4

3

 

Freq

5

4

3

 

Crosstab w/ clinic level variables

What primary and preventative care services are included in the protocol

5.1

4a

 

 

Freq

5.1

4a

 

 

Crosstab w/ clinic level variables

 

 

3b, 3c, 3f, 3g

 

Qualitative focus from medical director survey

Which services are referred out (see referrals)

-

-

-


 

 

What services are provided at the clinic to PLWH?

Research Question

Clinician

Clinical Director

Medical Director

Data Extract

Analyses

As part of a protocol (see Protocol)

-

-

-

 

 

As part of a comprehensive physical exam and health maintenance

7.1

6

 


Freq

7.1

6

 


Crosstab w/ clinic level variables

What Primary Care services are provided

8.1

7.1

 

Freq

8.1

7.1

 


Crosstab w/ clinic level variables

Additional services for patients with a comorbidity

9.1

8.1

 

Freq

9.1

8.1

 


Crosstab w/ clinic level variables

10

9

 


Freq

 

Who provides these services at the clinic?

Research Question

Clinician

Clinical Director

Medical Director

Data Extract

Analyses

As part of a protocol

5.3

 

 

 

 

As part of a comprehensive physical exam and health maintenance

7.3

 

 


 

Primary Care services

8.2

7.2

 


Crosstab w/ services

8.2

7.2

 


Crosstab w/ clinic level variables

11

12

 

Freq

Additional services for patients with a comorbidity

1 and 9.2

8.2

 

Crosstab w/ services

1 and 9.2

8.2

 

Crosstab w/ clinic level variables

Members of the care team in case of comorbidity

10a

9a

 

 

Freq

 

How often are service provided?

Research Question

Clinician

Clinical Director

Medical Director

Data Extract

Analyses

As part of a protocol

-

-

 

 

 

As part of a comprehensive physical exam and health maintenance

6

5

 


Freq

6

5

 


Crosstab w/ clinic level variables

Primary Care services

8.3

7.3

 

Crosstab w/ services

8.3

7.3

 

Crosstab w/ clinic level variables

Additional services for patients with a comorbidity

 

 

 

 

 












Research Question

Clinician

Clinical Director

Medical Director

Data Extract

Analyses

As part of a protocol

5.1

4a

 


Freq

5.1

4a

 


Crosstab w/ clinic level variables

As part of a comprehensive physical exam and health maintenance

7.1

6

 


Freq

7.1

6

 


Crosstab w/ clinic level variables

 

 

5


Qualitative focus from medical director survey

Primary Care services

4

3

 

Freq

4

3

 

Crosstab w/ clinic level variables

8.1

7.1

 

Freq

8.1

7.1

 

Crosstab w/ clinic level variables

What are the reasons for referring primary and preventative care services outside of your clinic?

4a

3a

 


Freq

4b

3b

 


Freq

 

 

5


Qualitative focus from medical director survey

Additional services for patients with a comorbidity

9.1

8.1

 


Freq

9.1

8.1

 


Crosstab w/ clinic level variables

When is information shared as part of a referred primary care service

4d

3d

 

Freq

4d

3d

 

 

Crosstab w/ clinic level variables

8.4

7.4

 

 

Crosstab w/ services

8.4

7.4

 

 

Crosstab w/ services

8.5

7.5

 

 

Crosstab w/ services

8.5

7.5

 

 

Crosstab w/ services

How is information shared as part of a referred primary care service

8.6

7.6

 

 

Crosstab w/ services

When is information shared as part of a co-morbidities service

9.4

8.4

 

 

Crosstab w/ services

9.4

8.4

 

 

Crosstab w/ services

9.5

8.5

 

 

Crosstab w/ services

9.5

8.5

 

 

Crosstab w/ services

How is information shared as part of a referred co-morbidities service

9.6

8.6

 

 

Crosstab w/ services

Medical director survey questions

 

 

7,9

 

Qualitative focus from medical director survey

 

Clinic's Strengths and Weakness

Research Question

Clinician

Clinical Director

Medical Director

Data Extract

Analyses

What are the clinic's strengths

12

13

 

 

Freq

 

 

10, 13, 14

 

Qualitative focus from medical director survey

What are the clinic's challenges

13

14


 

Freq

 

 

3d, 7g, 10, 12, 14

 

Qualitative focus from medical director survey

What are the clinician's challenges

14

 

 

 

Freq

Other factors in the clinic's operations

 

 

10,11,14

 

Qualitative focus from medical director survey



5


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