Abstract
This paper reports the development and validation of a questionnaire to assess collaboration between clinical professionals from two different care levels (primary and specialised care), according to the clinicians' own perceptions. This questionnaire has been elaborated to be used as part of the monitoring and evaluation process of the integrated care pilots in the public Basque Health Service. THE PROCESS WAS CARRIED OUT IN FOUR PHASES: development of the first version of the questionnaire, validation of the content, pre-testing, and evaluation of its construct validity and homogeneity in a sample of doctors and nurses. This last phase involved confirmatory factor analysis, as well as the calculation of Cronbach's α and various correlation coefficients. The process demonstrated that the theoretical content of the questionnaire was appropriate, and also that its items were clear, relevant and intelligible. The fit indices for the confirmatory factor analysis were: χ(2) of 45.51 (p=0.089), RMSEA of 0.043, RMR of 0.046, GFI of 0.92 and CFI of 0.99. The statistics indicate a good fit between the data and a conceptual two-factor structure, in which both personal relationships between professionals and characteristics of the organisational environment are understood to underlie interprofessional collaboration. The end-product is a new instrument with good validity to assess the degree of interprofessional collaboration between clinicians working at two different levels of care.
Highlights
This paper reports the development and validation of a questionnaire to assess collaboration between clinical professionals from two different care levels, according to the clinicians’ own perceptions
This questionnaire has been elaborated to be used as part of the monitoring and evaluation process of the integrated care pilots in the public Basque Health Service
The end-product is a new instrument with good validity to assess the degree of interprofessional collaboration between clinicians working at two different levels of care
Summary
This paper reports the development and validation of a questionnaire to assess collaboration between clinical professionals from two different care levels (primary and specialised care), according to the clinicians’ own perceptions. A range of initiatives that can be broadly defined as disease management programmes have been emerging across the Basque health service, aiming at integrating care processes, while respecting the organisational separation between care levels This type of initiatives focuses on specific conditions and groups of patients. In the Basque case, initiatives targeting these patients at the top of the Kaiser pyramid [2], include the identification of a team or a specialist of reference for the primary care team and the complex patient at the hospital, and often involve the use of case managers All these different types of integration initiatives are mostly still in the pilot phase, having had until now an impact on only a limited number of healthcare settings and certain specific units and services. All of them require collaboration between professionals from different care levels and specialties, most often working in different healthcare settings and/ or organisations
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