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Fourth, an effectiveness dimension on the organizational level was added.
Presently, 55% of indicators measure the safety dimension and 43% measure the effectiveness dimension of health care performance [ 47].
Legitimacy does not consist only in participation, inclusion, accountability and contestability (elections) but also refers to delivering services, which links to the "effectiveness" dimension below.
In this regard it was found that only the scores of the DermaSat effectiveness dimension correlate with the clinician's assessment of patient compliance (r = 0.213; p = 0.002).
One dissenting aspect is the concept of "personal growth", an effectiveness dimension which describes patients hope to be empowered by the healthcare encounter in individualised medicine.
Despite its non-uniform derivation, the importance of GLOBAL was manifest through its correlation with patients' perception of treatment persistence (likelihood to continue/discontinue medication), which was stronger than any specific dimension of TS-M, even the effectiveness dimension.
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Only the effectiveness dimensions correlate with the physical component (r = 0.148; p = 0.038), along with the dimension of (absence of) undesirable side-effects with respect to the physical component (r = 0.167; p = 0.019) and the mental component (r = 0.231; p = 0.001).
We developed a questionnaire named COMIC (for Culture, Organisation and Management in Intensive Care') [ 34] that combines a set of independent variables that include cultural, managerial, well-being, and unit effectiveness dimensions in order to give an integrative overview of the 'organisation' variable.
The Improvement Effectiveness Outcome dimension consists of three items and has a Cronbach's alpha coefficient of 0.67.
The initial short version includes four dimensions: side effects, effectiveness of the medication, convenience of use, and general patient satisfaction.
It is a 14-item scale consisting of four dimensions, including effectiveness, side effects, convenience, and global satisfaction [ 35].
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