Radboud University Nijmegen Medical Centre, Department of Primary and Community care, Nijmegen, The Netherlands.
Br J Gen Pract. 2012 Jul;62(600):e949-57. doi: 10.3399/bjgp12X652364.
Recently, the Nijmegen Continuity Questionnaire (NCQ) was developed. It aims to measure continuity of care from the patient perspective across primary and secondary care settings. Initial pilot testing proved promising.
To further examine the validity, discriminative ability, and reliability of the NCQ.
A prospective psychometric instrument validation study in primary and secondary care in the Netherlands.
The NCQ was administered to patients with a chronic disease recruited from general practice (n = 145) and hospital outpatient departments (n = 123) (response rate 76%). A principal component analysis was performed to confirm three subscales that had been found previously. Construct validity was tested by correlating the NCQ score to scores of other scales measuring quality of care, continuity, trust, and satisfaction. Discriminative ability was tested by investigating differences in continuity subscores of different subgroups. Test-retest reliability was analysed in 172 patients.
Principal factor analysis confirmed the previously found three continuity subscales - personal continuity, care provider knows me; personal continuity, care provider shows commitment; and team/cross-boundary continuity. Construct validity was demonstrated through expected correlations with other variables and discriminative ability through expected differences in continuity subscores of different subgroups. Test-retest reliability was high (the intraclass correlation coefficient varied between 0.71 and 0.82).
This study provides evidence for the validity, discriminative ability, and reliability of the NCQ. The NCQ can be of value to identify problems in continuity of care.
最近，开发了尼姆斯根连续性问卷（NCQ）。它旨在从患者角度衡量初级和二级保健环境中的连续性护理。初步试点测试结果很有希望。
进一步检查 NCQ 的有效性、区分能力和可靠性。
荷兰初级和二级保健中的前瞻性心理计量学仪器验证研究。
从普通实践（n=145）和医院门诊部门（n=123）招募患有慢性病的患者来管理 NCQ（响应率为 76%）。进行主成分分析以确认先前发现的三个亚量表。通过将 NCQ 评分与衡量护理质量、连续性、信任和满意度的其他量表的评分相关联来测试构念效度。通过调查不同亚组的连续性子分数的差异来测试区分能力。在 172 名患者中分析了重测信度。
主因子分析证实了先前发现的三个连续性亚量表 - 个人连续性，护理提供者认识我；个人连续性，护理提供者表现出承诺；和团队/跨边界连续性。通过与其他变量的预期相关性以及通过不同亚组的连续性子分数的预期差异来证明构念有效性和区分能力。重测信度较高（组内相关系数在 0.71 到 0.82 之间）。
这项研究为 NCQ 的有效性、区分能力和可靠性提供了证据。NCQ 可以帮助识别连续性护理中的问题。
