Community Health Centre Ljubljana, Ljubljana, Slovenia.
Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
PLoS One. 2018 Aug 9;13(8):e0201385. doi: 10.1371/journal.pone.0201385. eCollection 2018.
A team approach in health care involves an interprofessional approach to patient care. We wanted to develop and validate a tool that would evaluate the interprofessional team approach to patients of a family medicine team. We performed a descriptive study in three consecutive phases: a literature review, consensus development panels, and a cross-sectional validation study. Three rounds of consensus development panels were carried out in order to evaluate and adapt the initial scale. The cross-sectional study was carried out in all Slovenian family medicine practices, each invited 10 consecutive patients. In the quantitative study, 3,292 patients participated (a 50.7% response rate), of which 1,810 (55.0%) were women. The mean age of the sample was 53.1 ± 1.2 years. The final Cronbach's alpha was 0.901. A factor analysis of the 9-item scale put forward two factors (Team Approach and Person-Centred approach) which explained 68.6% of the variance. This study provided a new scale for the evaluation of patient satisfaction with the interprofessional family medicine team from the patients' point of view. It opened the question of family medicine team competencies and pointed towards the need to develop a family medicine interprofessional team competency framework and a comprehensive tool for its assessment.
医疗团队方法涉及到跨专业的患者护理方法。我们希望开发和验证一种工具,以评估家庭医疗团队患者的跨专业团队方法。我们在三个连续阶段进行了描述性研究:文献回顾、共识发展小组和横断面验证研究。为了评估和调整初始量表,进行了三轮共识发展小组。横断面研究在所有斯洛文尼亚家庭医学实践中进行,每个实践邀请了 10 名连续患者。在定量研究中,有 3292 名患者参与(响应率为 50.7%),其中 1810 名(55.0%)为女性。样本的平均年龄为 53.1 ± 1.2 岁。最终的 Cronbach 的 alpha 为 0.901。对 9 项量表的因子分析提出了两个因素(团队方法和以人为主的方法),解释了 68.6%的方差。这项研究提供了一个新的量表,用于从患者的角度评估对跨专业家庭医疗团队的患者满意度。它提出了家庭医疗团队能力的问题,并指出需要制定家庭医疗跨专业团队能力框架和全面的评估工具。