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一种衡量产科护理系统中综合护理的方法：产科护理网络研究和荷兰分娩中心研究的经验

An Approach to measuring Integrated Care within a Maternity Care System: Experiences from the Maternity Care Network Study and the Dutch Birth Centre Study.

作者信息

Boesveld Inge C, Valentijn Pim P, Hitzert Marit, Hermus Marieke A A, Franx Arie, de Vries Raymond G, Wiegers Therese A, Bruijnzeels Marc A

机构信息

Jan van Es Institute, Netherlands Expert Centre Integrated Primary Care, Almere, NL.

Division Woman and Baby, University Medical Centre Utrecht, Utrecht, NL.

出版信息

Int J Integr Care. 2017 Jun 20;17(2):6. doi: 10.5334/ijic.2522.

DOI:10.5334/ijic.2522
PMID:28970747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5624115/
Abstract

INTRODUCTION

Integrated care is considered to be a means to reduce costs, improve the quality of care and generate better patient outcomes. At present, little is known about integrated care in maternity care systems. We developed questionnaires to examine integrated care in two different settings, using the taxonomy of the Rainbow Model of Integrated Care. The aim of this study was to explore the validity of these questionnaires.

METHODS

We used data collected between 2013 and 2015 from two studies: the Maternity Care Network Study (634 respondents) and the Dutch Birth Centre Study (56 respondents). We assessed the feasibility, discriminative validity, and reliability of the questionnaires.

RESULTS

Both questionnaires showed good feasibility (overall missing rate < 20%) and reliability (Cronbach's Alpha coefficient > 0.70). Between-subgroups post-hoc comparisons showed statistically significant differences on integration profiles between regional networks (on all items, dimensions of integration and total integration score) and birth centres (on 50% of the items and dimensions of integration).

DISCUSSION

Both questionnaires are feasible and can discriminate between sites with different integration profiles in The Netherlands. They offer an opportunity to better understand integrated care as one step in understanding the complexity of the concept.

摘要

引言

综合护理被视为降低成本、提高护理质量和产生更好患者结局的一种手段。目前，对于产科护理系统中的综合护理了解甚少。我们使用综合护理彩虹模型的分类法开发了问卷，以考察两种不同环境下的综合护理。本研究的目的是探讨这些问卷的有效性。

方法

我们使用了2013年至2015年期间从两项研究中收集的数据：产科护理网络研究（634名受访者）和荷兰分娩中心研究（56名受访者）。我们评估了问卷的可行性、区分效度和信度。

结果

两份问卷均显示出良好的可行性（总体缺失率<20%）和信度（克朗巴哈α系数>0.70）。亚组间事后比较显示，地区网络（在所有项目、综合维度和总综合得分方面）和分娩中心（在50%的项目和综合维度方面）的综合概况存在统计学上的显著差异。

讨论

两份问卷都是可行的，并且能够区分荷兰不同综合概况的场所。它们为更好地理解综合护理提供了一个机会，这是理解该概念复杂性的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94a/5624115/00c55e4536a8/ijic-17-2-2522-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94a/5624115/f8c1cb017d7d/ijic-17-2-2522-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94a/5624115/00c55e4536a8/ijic-17-2-2522-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94a/5624115/f8c1cb017d7d/ijic-17-2-2522-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94a/5624115/00c55e4536a8/ijic-17-2-2522-g2.jpg

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