Survey of Organizational Attributes for Primary Care (SOAPC)

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Submitted by National Center... on Oct 20, 2016 - 8:56pm CDT

Instrument
Authors: 
Ohman-Strickland, P.A.
Orzano, A.J.
Nutting, P.A.
Dickinson, W.P.
Scott-Cawiezell, J.
Hahn, K.
Gibel, M.
Crabtree, B.F.
Overview: 

The SOAPC was designed to measure the perspectives of clinicians, nurses, and staff on the internal resources of small family medicine practices. Specifically, the tool measures communication, decision making, stress/chaos, and history of change in a 21-item self-report instrument. The results are meant to provide a practical resource for benchmarking practices and guiding interventions. A validation study of 640 staff from 51 family practices demonstrated a four factor structure and good internal reliability. 

Link to Resources
Resource links: 

Ohman‐Strickland, P. A., John Orzano, A., Nutting, P. A., Perry Dickinson, W., Scott‐Cawiezell, J., Hahn, K., Gibel, M., & Crabtree, B. F. (2007). Measuring organizational attributes of primary care practices: development of a new instrument. Health Services Research, 42(3p1), 1257-1273.

Descriptive Elements
Who is Being Assessed or Evaluated?: 
Organizations
Instrument Type: 
Self-report (e.g., survey, questionnaire, self-rating)
Notes for Type: 

Members of family medicine practices responded about their practice.

Source of Data: 
Health care providers, staff
Notes for Data Sources: 

Clinicians, nurses, and staff from each practice were asked to respond.

Instrument Content: 
Reported perceptions, experiences of working relationships, teamwork
Organizational environment, culture
Notes for Content: 

The tool measures four factors of internal resources:

  1. Communication
  2. Decision making 
  3. Stress/chaos
  4. History of change
Instrument Length: 

21 items; less than 15 minutes

Item Format: 
5-point likert-type scale ranging from strongly disagree (1) to strongly agree (5)
Administration: 
Questionnaires were distributed by the office manager and returned to the office manager in sealed envelopes.
Scoring: 
Items were averaged within factor and across individuals within a practice.
Language: 
English
Norms: 
None described.
Access: 
Subscription (can be viewed in journal article)
Notes on Access: 

Contact author to confirm permission to use.

Psychometric Elements: Evidence of Validity
Content: 
The content was based on a model for practice change. Items were mainly culled from existing scales on organizational performance and practice organization. A panel of experts sorted items into core concepts and edited the wording to more closely match the family practice setting.
Response Process: 
The response rate was 58% of individuals contacted.
Internal Structure: 
Factor analysis demonstrated a four factor structure. Internal reliability was good for all four factors (Cronbach’s alpha = 0.73-0.88).
Relation to Other Variables: 
None described.
Consequential: 
None described.
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