Table 1 Factor array
From: Employees’ views on home-based, after-hours telephone triage by Dutch GP cooperatives
Statement | Factor | |||
|---|---|---|---|---|
1 | 2 | 3 | 4 | |
1. Home-based triage is desired as backup during unexpected busy hours at an OOH center | +4** | −2 | −2 | +3** |
2. If triagists want to work from home, it should be possible | 0** | −4** | −2 | −2 |
3. It is important that a GP and a triagist work in the same location | −2** | +3** | 0 | −1 |
4. The possibility for triagists to work from home is not an option for dealing with staff shortages | −1** | 0 | 0 | +1 |
5. If triagists work from home, it will not be possible to give adequate feedback on their functioning | −1 | +4** | −1 | +2** |
6. If triagists work from home, the quality of triage will decrease | −2 | +1** | −2 | −2 |
7. Due to the distractions of a busy household, triagists cannot work well at home | +2* | 0 | +1 | −1** |
8. If triage is home-based, then mutual trust between triagists will decrease | 0 | −1 | −3** | +1** |
9. Triagists can execute telephone triage better than GPs | +3 | +2 | +2 | +1 |
10. Work experience at an OOH center is important for executing home-based triage | +3 | +2** | +3 | +4** |
11. Home-based triage can only occur if there is mutual trust between the triagist and the attendant GP | +2* | −2** | +1* | +3** |
12. Home-based triage is possible for all the tasks telephone triagists have | +1** | −3* | −3* | −2** |
13. A prerequisite for home-based triage is that triagists also take on shifts at the OOH center | 0 | 0 | +2** | +4** |
14. GPs’ trust in triage decreases when they do not know the triagist | +2 | +1 | +2 | +2 |
15. Home-based triage can only take place during the day | −4 | −2** | −4 | −4 |
16. The quality of triage is harder to measure when triagists work from home | −2** | +2** | −1 | −1 |
17. Home-based triage extends the length of the triage process | −2 | −1 | −1 | −3 |
18. Home-based triage leads to increased differences in how triagists do their work | 0 | 0 | 0 | 0 |
19. Triagists who work from home will ask the GP for advice more often | −2 | +1* | −1* | −2 |
20. Patients’ trust in OOH services will decrease if triage is home-based | 0 | −1 | 0 | −3** |
21. Mutual communication decreases when triagists are home-based | +2 | +2 | +1 | +2 |
22. Poorly functioning home-based triagists will not be detected (at all or later) than those working at an OOH center | −1** | +1 | +1 | +2* |
23. Employment of a telephone physician is a prerequisite to offering home-based triage | +1** | −2** | +4** | 0** |
24. Home-based triage leads to a decrease in collegiality | 0 | +2 | +3* | +2* |
25. More standardization is necessary if triagists are to work from home | −1 | −1 | 0 | 0 |
26. In a home-based situation, the privacy of patients’ medical data can be protected only inadequately | +1 | +4** | +2 | −2** |
27. If triagists work from home the task of the GP will change | −3 | 0 | −3 | −1 |
28. Shift changes between GPS will be complicated if triage is home-based | −1 | +1** | −2** | 0 |
29. If triage is home-based the work pressure on GPs increases | −3* | −1* | −2* | −1* |
30. A separate workplace at home is a requirement for home-based telephone triage | +4 | 0** | +4 | +1** |
31. Primarily for OOH centers with large catchment areas, triagists should be able to work from home | +1** | −3 | −1** | −3 |
32. The triagist should be able to see all [digital] patient dossiers at home | −3 | −3 | +3** | 0** |
33. Triagists will miss out on learning from each other if their work is home-based | +3 | +3 | +1** | +3 |
34. If triage is home-based, the number of doctors on duty should be reduced | −4 | −4 | −4 | −4 |
35. A quiet workplace at home is more suitable for offering triage than the busy environment at a GPC | +1** | −2 | 0 | 0 |
36. Cooperation between triagists and GPs will decrease if triage is home-based | +2 | +3 | +2 | +1* |