An approach to measuring Integrated Care within a Maternity Care System: Experiences from the Maternity Care Network Study and the Dutch Birth Centre Study
| Autor: | Raymond De Vries, M. Hitzert, Pim Valentijn, Marieke A. A. Hermus, Therese A. Wiegers, Arie Franx, Marc Bruijnzeels, Inge C. Boesveld |
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| Přispěvatelé: | Health promotion, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Obstetrics & Gynecology |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
COLLABORATIVE PRACTICE Health (social science) Sociology and Political Science NETHERLANDS Birth care Feasibility study Maternity care 0302 clinical medicine Life CH - Child Health Health care Medicine 030212 general & internal medicine MIDWIVES Reliability (statistics) computer.programming_language media_common Netherlands lcsh:R5-920 030219 obstetrics & reproductive medicine Health Policy Integrated care Reliability Perinatal Care Psychometric properties Health Female Maternal care lcsh:Medicine (General) Healthy Living Human Birth centre PROFESSIONALS media_common.quotation_subject Major clinical study Health(social science) Validity 03 medical and health sciences Nursing QUALITY Quality (business) Post hoc analysis OBSTETRICIAN LABOR Health policy DELPHI Taxonomy Research and Theory business.industry Questionnaire MODEL HEALTH-CARE ELSS - Earth Life and Social Sciences integrated care questionnaire psychometric properties validity birth care Healthy for Life business computer Delphi Model |
| Zdroj: | International Journal of Integrated Care, 2, 17, 1-13 International Journal of Integrated Care [E], 17(2). Igitur, Utrecht Publishing and Archiving Services International Journal of Integrated Care; Vol 17: April-June 2017; 6 International Journal of Integrated Care International Journal of Integrated Care, Vol 17, Iss 2 (2017) International Journal of Integrated Care, 17(2):6. Igitur, Utrecht Publishing and Archiving Services International Journal of Integrated Care, 17:Unsp 6. Ubiquity Press |
| ISSN: | 1568-4156 |
| Popis: | Introduction: Integrated care is considered to be a means to reduce costs, improve the quality of care and generate better patient outcomes. At present, little is known about integrated care in maternity care systems. We developed questionnaires to examine integrated care in two different settings, using the taxonomy of the Rainbow Model of Integrated Care. The aim of this study was to explore the validity of these questionnaires. Methods: We used data collected between 2013 and 2015 from two studies: the Maternity Care Network Study (634 respondents) and the Dutch Birth Centre Study (56 respondents). We assessed the feasibility, discriminative validity, and reliability of the questionnaires. Results: Both questionnaires showed good feasibility (overall missing rate < 20%) and reliability (Cronbach’s Alpha coefficient > 0.70). Between-subgroups post-hoc comparisons showed statistically significant differences on integration profiles between regional networks (on all items, dimensions of integration and total integration score) and birth centres (on 50% of the items and dimensions of integration). Discussion: Both questionnaires are feasible and can discriminate between sites with different integration profiles in The Netherlands. They offer an opportunity to better understand integrated care as one step in understanding the complexity of the concept. © 2017, Ubiquity Press Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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