Measuring patients' experiences of continuity of care in a primary care context-Development and evaluation of a patient-reported experience measure.
classic test theory
complex care needs
continuity of care
instrument development
primary healthcare
psychometric evaluation
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Jan 2024
Jan 2024
Historique:
received:
15
02
2023
accepted:
03
07
2023
pubmed:
24
7
2023
medline:
24
7
2023
entrez:
24
7
2023
Statut:
ppublish
Résumé
Continuity of care is viewed as a hallmark of high-quality care in the primary care context. Measures to evaluate the quality of provider performance are scarce, and it is unclear how the assessments correlate with patients' experiences of care as coherent and interconnected over time, consistent with their preferences and care needs. To develop and evaluate a patient-reported experience measure of continuity of care in primary care for patients with complex care needs. The study was conducted in two stages: (1) development of the instrument based on theory and empirical studies and reviewed for content validity (16 patients with complex care needs and 8 experts) and (2) psychometric evaluation regarding factor structure, test-retest reliability, internal consistency reliability, and convergent validity. In all, 324 patients participated in the psychometric evaluation. The Patient Experienced Continuity of care Questionnaire (PECQ) contains 20 items clustered in four dimensions of continuity of care measuring Information (four items), Relation (six items), Management (five items), and Knowledge (five items). Overall, the hypothesized factor structure was indicated. The PECQ also showed satisfactory convergent validity, internal consistency, and stability. The PECQ is a multidimensional patient experience instrument that can provide information on various dimensions useful for driving quality improvement strategies in the primary care context for patients with complex care needs. Patients have participated in the content validation of the items.
Sections du résumé
BACKGROUND
BACKGROUND
Continuity of care is viewed as a hallmark of high-quality care in the primary care context. Measures to evaluate the quality of provider performance are scarce, and it is unclear how the assessments correlate with patients' experiences of care as coherent and interconnected over time, consistent with their preferences and care needs.
AIM
OBJECTIVE
To develop and evaluate a patient-reported experience measure of continuity of care in primary care for patients with complex care needs.
METHOD
METHODS
The study was conducted in two stages: (1) development of the instrument based on theory and empirical studies and reviewed for content validity (16 patients with complex care needs and 8 experts) and (2) psychometric evaluation regarding factor structure, test-retest reliability, internal consistency reliability, and convergent validity. In all, 324 patients participated in the psychometric evaluation.
RESULTS
RESULTS
The Patient Experienced Continuity of care Questionnaire (PECQ) contains 20 items clustered in four dimensions of continuity of care measuring Information (four items), Relation (six items), Management (five items), and Knowledge (five items). Overall, the hypothesized factor structure was indicated. The PECQ also showed satisfactory convergent validity, internal consistency, and stability.
CONCLUSION/IMPLICATIONS
CONCLUSIONS
The PECQ is a multidimensional patient experience instrument that can provide information on various dimensions useful for driving quality improvement strategies in the primary care context for patients with complex care needs.
PATIENT OR PUBLIC CONTRIBUTION
UNASSIGNED
Patients have participated in the content validation of the items.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
387-398Subventions
Organisme : Swedish Research Council for Health, Working Life and Welfare, FORTE
ID : Dnr 2017-00202
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
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