基层医疗慢性病管理问卷 - 心理测量学特性和重测信度。
Questionnaire of chronic illness care in primary care-psychometric properties and test-retest reliability.
机构信息
Department of General Practice and Health Services Research, University of Heidelberg, Voßstraße 2, 69115 Heidelberg, Germany.
出版信息
BMC Health Serv Res. 2011 Nov 2;11:295. doi: 10.1186/1472-6963-11-295.
BACKGROUND
The Chronic Care Model (CCM) is an evidence-based approach to improving the structure of care for chronically ill patients with multimorbidity. The Assessment of Chronic Illness Care (ACIC), an instrument commonly used in international research, includes all aspects of the CCM, but cannot be easily extended to the German context. A new instrument called the "Questionnaire of Chronic Illness Care in Primary Care" (QCPC) was developed for use in Germany for this reason. Here, we present the results of the psychometric properties and test-retest reliability of QCPC.
METHODS
A total of 109 family doctors from different German states participated in the validation study. Participating physicians completed the QCPC, which includes items concerning the CCM and practice structure, at baseline (T0) and 3 weeks later (T1). Internal consistency reliability and test-retest reliability were evaluated using Cronbach's alpha and Pearson's r, respectively.
RESULTS
The QCPC contains five elements of the CCM (decision support, delivery system design, self-management support, clinical information systems, and community linkages). All subscales demonstrated moderate internal consistency and moderate test-retest reliability over a three-week interval.
CONCLUSIONS
The QCPC is an appropriate instrument to assess the structure of chronic illness care. Unlike the ACIC, the QCPC can be used by health care providers without CCM training. The QCPC can detect the actual state of care as well as areas for improvement of care according to the CCM.
背景
慢性疾病护理模式（CCM）是一种基于证据的方法，旨在改善患有多种慢性病的患者的护理结构。评估慢性疾病护理（ACIC）是一种常用于国际研究的工具，它包含了 CCM 的所有方面，但不能轻易扩展到德国的情况。因此，为了在德国使用，开发了一种名为“初级保健中慢性疾病护理问卷”（QCPC）的新工具。在这里，我们介绍 QCPC 的心理测量特性和重测信度的结果。
方法
共有来自德国不同州的 109 名家庭医生参与了这项验证研究。参与的医生在基线（T0）和 3 周后（T1）分别填写了 QCPC，其中包括与 CCM 和实践结构相关的项目。内部一致性可靠性和重测信度分别使用 Cronbach's alpha 和 Pearson's r 进行评估。
结果
QCPC 包含 CCM 的五个要素（决策支持、交付系统设计、自我管理支持、临床信息系统和社区联系）。所有子量表在三周的间隔内均表现出中等的内部一致性和中等的重测信度。
结论
QCPC 是评估慢性疾病护理结构的合适工具。与 ACIC 不同，QCPC 可以由没有 CCM 培训的医疗保健提供者使用。QCPC 可以根据 CCM 检测实际的护理状况和需要改进的护理领域。
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