Development and validation of the Chinese patient-centered integrated care scale

Bibliographic Details
Title: Development and validation of the Chinese patient-centered integrated care scale
Authors: Yue Yin, Wenqing Gao, Xiujuan Cui, Wenxi Tang
Source: BMC Health Services Research, Vol 24, Iss 1, Pp 1-10 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Public aspects of medicine
Subject Terms: Integrated care, Instrument, Delphi method, Analytic hierarchy process, Validation studies, Public aspects of medicine, RA1-1270
More Details: Abstract Background The healthcare system is currently facing challenges in transitioning to a more integrated, patient-centered care. China has implemented various practical exploration and pilot programs in developing an integrated healthcare service system. However, there remains an absence of appropriate instrument to assess integrated care from the patient’s perspective, particularly one that aligns with China's national conditions. Methods Using a literature review, Delphi methods, a pilot study involving 171 chronic patients in Guangdong Province, and the analytic hierarchy process, we developed and validated the Chinese Patient-Centered Integrated Care (CPCIC) with a weighting system. Results The results of exploratory factor analysis indicated CPCIC scale had robust structural validity. The overall Cronbach’s α coefficient was 0.868, signifying excellent internal consistency. The final scale included four first-level indicators (dimensions): services responsiveness, services convenience, services continuity and services coordination and 14 s-level indicators (items). The assigned weights of these dimensions were 0.1070, 0.2926, 0.4155 and 0.1849, respectively. Conclusions The four-dimension, 14-item CPCIC scale with a weighting system was successfully developed and validated. The scale provides a reliable and valid instrument for evaluating the degree of integrated care from the patient’s perspective, and has potential applications in informing the reform of China’s healthcare system to enhance patient-centered care.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1472-6963
Relation: https://doaj.org/toc/1472-6963
DOI: 10.1186/s12913-024-12156-9
Access URL: https://doaj.org/article/6bdce245ed9349eb8d1209c1832817f4
Accession Number: edsdoj.6bdce245ed9349eb8d1209c1832817f4
Database: Directory of Open Access Journals
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More Details
ISSN:14726963
DOI:10.1186/s12913-024-12156-9
Published in:BMC Health Services Research
Language:English