Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, 117, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
J Clin Epidemiol. 2011 Dec;64(12):1391-9. doi: 10.1016/j.jclinepi.2011.03.006.
To develop and pilot test a generic questionnaire to measure continuity of care from the patient's perspective across primary and secondary care settings.
We developed the Nijmegen Continuity Questionnaire (NCQ) based on a systematic literature review and analysis of 30 patient interviews. The questionnaire consisted of 16 items about the patient-provider relationship to be answered for five different care providers and 14 items each on the collaboration between four groups of care providers. The questionnaire was distributed among patients with a chronic disease recruited from general practice. We used principal component analysis (PCA) to identify subscales. We refined the factors by excluding several items, for example, items with a high missing rate.
In total, 288 patients filled out the questionnaire (response rate, 72%). PCA yielded three subscales: "personal continuity: care provider knows me," "personal continuity: care provider shows commitment," and "team/cross-boundary continuity." Internal consistency of the subscales ranged from 0.82 to 0.89. Interscale correlations varied between 0.42 and 0.61.
The NCQ shows to be a comprehensive, reliable, and valid instrument. Further testing of reliability, construct validity, and responsiveness is needed before the NCQ can be more widely implemented.
开发并初步测试一种通用问卷，以衡量患者在初级和二级保健环境中的连续性护理。
我们基于系统文献回顾和对 30 名患者访谈的分析，制定了奈梅亨连续性问卷（NCQ）。该问卷由 16 个关于医患关系的项目组成，需要回答 5 个不同的医护提供者，另外还有 14 个关于 4 组医护提供者之间合作的项目。问卷分发给从普通诊所招募的慢性病患者。我们使用主成分分析（PCA）来识别子量表。我们通过排除几个项目来改进这些因素，例如，高缺失率的项目。
共有 288 名患者填写了问卷（应答率为 72%）。PCA 产生了三个子量表：“个人连续性：医护提供者了解我”、“个人连续性：医护提供者表现出承诺”和“团队/跨边界连续性”。子量表的内部一致性在 0.82 到 0.89 之间。量表间的相关性在 0.42 到 0.61 之间。
NCQ 是一种全面、可靠和有效的工具。在更广泛地实施 NCQ 之前，还需要进一步测试其可靠性、结构有效性和响应能力。
