Table 1

Results of the ranking process and dimension ranking and refinement

Subaspects (not in rank order)Phase 1: Top 10 dimensionsPhase 2: Selecting dimensionsPhase 3: Refining terminology for International Family Practice Maturity Matrix
1. Process: innovation and creativityInnovationDeveloping the practice by improving the process of care: audits, quality improvement cyclesImproving the practice
2. Processes: systematic process managementStandard operating proceduresOperating procedures, that is documented standardised steps for organisational and care processesOperating procedures
3. Resources: technology and knowledge managementInternal knowledge managementUsing patient data: information recorded from consultations. Coding and analysis potential.Using patient data
4. Resources: technology and knowledge managementExternal knowledge managementUsing information: accessing evidence about best practice, sharing the evidence and assessing its applicability and qualityUsing information
5. Appreciation by societyClient (patient) focusListening to patients: their views and experiences and complaint processListening to patients
6. Policy and strategy: CommunicationTeam working processesWorking as a team: organisation-wide communication, using meetings, minutes, and documented actionWorking as a team
7. Appreciation by staff and people management: planningHuman resource managementManaging staff: recruitment processes, role clarity, staff development and appraisalManaging staff
8. Resources: financial managementResource managementThese subaspects were excluded as International Family Practice Maturity Matrix dimensions: financial details are difficult to confront in open discussion where staff have different roles (eg, employees as well as employers), and similarly, detailed discussion about leadership in a group setting may be contentious and is best postponed, if this needs attention
9. Leadership: visible commitmentLeadership
10. Policy and strategy: leadershipLeadership