The Care Process Self-Evaluation Tool: a valid and reliable instrument for measuring care process organization of health care teams
| Autor: | Timothy Mutsvari, Walter Sermeus, Rafaela Camacho Bejarano, Massimiliano Panella, Deborah Seys, Svin Deneckere, Eva Van Gerven, Seval Kul, Kris Vanhaecht, Luk Bruyneel |
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| Přispěvatelé: | Seys, Deborah, Deneckere, Svin, Sermeus, Walter, Van Gerven, Eva, Panella, Massimiliano, Bruyneel, Luk, Mutsvari, Timothy, Camacho Bejarano, Rafaela, Kul, Seval, Vanhaecht, Kris |
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Psychometrics Interclass correlation Psychometric properties Care process Organization of care Validity Reliability Health care teams CPSET Multidisciplinary teams Multicenter study Health administration Cronbach's alpha Belgium Professional-Family Relations Patient-Centered Care Surveys and Questionnaires Health care Medicine Humans Cooperative Behavior Netherlands Patient Care Team business.industry Health Policy Nursing research Process Assessment Health Care Reproducibility of Results Continuity of Patient Care Confirmatory factor analysis Test (assessment) Health Care Sciences & Services Cross-Sectional Studies Family medicine Female Patient Safety business Factor Analysis Statistical Delivery of Health Care Research Article |
| Zdroj: | BMC Health Services Research Arias Montano. Repositorio Institucional de la Universidad de Huelva Universidad Pontificia Comillas ICAI-ICADE |
| ISSN: | 1472-6963 |
| Popis: | Background Patient safety can be increased by improving the organization of care. A tool that evaluates the actual organization of care, as perceived by multidisciplinary teams, is the Care Process Self-Evaluation Tool (CPSET). CPSET was developed in 2007 and includes 29 items in five subscales: (a) patient-focused organization, (b) coordination of the care process, (c) collaboration with primary care, (d) communication with patients and family, and (e) follow-up of the care process. The goal of the present study was to further evaluate the psychometric properties of the CPSET at the team and hospital levels and to compile a cutoff score table. Methods The psychometric properties of the CPSET were assessed in a multicenter study in Belgium and the Netherlands. In total, 3139 team members from 114 hospitals participated. Psychometric properties were evaluated by using confirmatory factor analysis (CFA), Cronbach’s alpha, interclass correlation coefficients (ICCs), Kruskall-Wallis test, and Mann–Whitney test. For the cutoff score table, percentiles were used. Demographic variables were also evaluated. Results CFA showed a good model fit: a normed fit index of 0.93, a comparative fit index of 0.94, an adjusted goodness-of-fit index of 0.87, and a root mean square error of approximation of 0.06. Cronbach’s alpha values were between 0.869 and 0.950. The team-level ICCs varied between 0.127 and 0.232 and were higher than those at the hospital level (0.071-0.151). Male team members scored significantly higher than females on 2 of the 5 subscales and on the overall CPSET. There were also significant differences among age groups. Medical doctors scored significantly higher on 4 of the 5 subscales and on the overall CPSET. Coordinators of care processes scored significantly lower on 2 of the 5 subscales and on the overall CPSET. Cutoff scores for all subscales and the overall CPSET were calculated. Conclusions The CPSET is a valid and reliable instrument for health care teams to measure the extent care processes are organized. The cutoff table permits teams to compare how they perceive the organization of their care process relative to other teams. |
| Databáze: | OpenAIRE |
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