Hadjistavropoulos Heather, Biem Henry, Sharpe Donald, Bourgault-Fagnou Michelle, Janzen Jennifer
Department of Psychology, University of Regina, Regina, Saskatchewan, Canada.
Int J Qual Health Care. 2008 Oct;20(5):314-23. doi: 10.1093/intqhc/mzn030. Epub 2008 Jul 17.
Review of the literature reveals a need to develop a questionnaire that measures patient perceptions of factors impacting continuity of care following discharge from hospital. Such a measure has the potential to guide quality improvement initiatives related to continuity of care.
Our objective was to develop and examine the psychometric properties of a measure that would meet this need, the Patient Continuity of Care Questionnaire (PCCQ).
The PCCQ was administered to 204 inpatients 4 weeks after discharge. The questionnaire was assessed by item and principal components analysis. Factors derived from principal components analysis were assessed for internal consistency and construct validity.
A principal components analysis resulted in six subscales including perceptions of: (1) relationships with providers in hospital, (2) information transfer to patients, (3) relationships with providers in community, (4) management of written forms, (5) management of follow-up and (6) management of communication among providers. These subscales were internally consistent in our sample and demonstrated construct validity through correlations with other related constructs.
This initial study supports the reliability and validity of the PCCQ for measuring patient perceptions of factors central to continuity of care. The questionnaire subscales correspond to the theoretical components of continuity of care that have been proposed in the literature, namely informational, relational and management continuity. The subscales may be of value for identifying problems in continuity of care and for evaluating interventions aimed at improving continuity of care for patients after hospital discharge.
文献回顾显示，需要开发一种问卷来衡量患者对出院后影响护理连续性因素的看法。这样一种测量方法有可能指导与护理连续性相关的质量改进举措。
我们的目的是开发并检验一种能满足这一需求的测量工具——患者护理连续性问卷（PCCQ）的心理测量特性。
在出院4周后，对204名住院患者进行PCCQ问卷调查。通过项目分析和主成分分析对问卷进行评估。对主成分分析得出的因素进行内部一致性和结构效度评估。
主成分分析产生了六个子量表，包括对以下方面的看法：（1）在医院与医护人员的关系；（2）向患者的信息传递；（3）在社区与医护人员的关系；（4）书面表格的管理；（5）随访管理；（6）医护人员之间的沟通管理。这些子量表在我们的样本中具有内部一致性，并通过与其他相关结构的相关性证明了结构效度。
这项初步研究支持了PCCQ在测量患者对护理连续性核心因素看法方面的可靠性和有效性。问卷子量表与文献中提出的护理连续性的理论组成部分相对应，即信息连续性﹑关系连续性和管理连续性。这些子量表对于识别护理连续性方面的问题以及评估旨在改善患者出院后护理连续性的干预措施可能具有价值。
