Toronto Rehabilitation Institute University Health Network

Improving Canadian Family Physician Knowledge and Performance in Safe Prescribing of Opioids for Chronic Non-Cancer Pain

 

Health Canada would like to ask you some questions about the extent of collaboration currently occurring related to one of our funded projects. The answers you give will help Health Canada determine the impact of their funded projects.

This is a survey and not a test which means there are no right or wrong answers.

You will not be asked for your name or for other information which would reveal your identity.

Completing the survey is voluntary, and you can skip questions that you do not want to answer. Please answer questions as thoughtfully and honestly as possible.

Thank you.

 


 

This questionnaire is designed for those who work in one of the organizations or programs that are partners in the University Health Network’s (UHN) Improving Canadian Family Physician Knowledge and Performance in Safe Prescribing of Opioids for Chronic Non-Cancer Pain initiative. Please review these descriptions of different levels of collaboration.

  No Interaction at all - 0 Networking - 1 Cooperation - 2 Coordination -3  Coalition - 4 Collaboration - 5
Relationship
Characteristics
 

- Aware of organization

-Loosely defined roles

-Little communication

-All decisions made independently

 

- Provide Info to each other

-Somewhat defined roles

-Formal communication

-All decisions are made independently

- Share information and resources

- Defined roles

-Frequent communication

-Some shared decision making

- Share ideas

-Share resources

-Frequent and prioritized communication

-All members have a vote in decision making

 

- Members belong to one system

-Frequent communication is characterized by mutual trust

- Consensus is reached on all decisions

 

Using the scale provided, please indicate the extent to which you currently interact with each identified partner (do not provide a response next to your own name).


 

 















































































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