Table 2

High-Value Care Culture Survey factor characteristics

FactorNumber of itemsCronbach's α
Leadership and health system messaging170.94
Data transparency and access20.80
Comfort with cost conversations30.70
Blame-free environment20.70
  • For full details of psychometric standardised regression coefficients for each factor, see online appendix I.

  • Fit indices of four factor model: GFI 0.980, NFI 0.975 and RMSR 0.058.

  • GFI, Goodness of Fit Index; NFI, Normed Fit Index; RMSR, root mean square residual.