Busquet-Duran Xavier, Jiménez-Zafra Eva Maria, Tura-Poma Magda, Bosch-de la Rosa Olga, Moragas-Roca Anna, Martin-Moreno Susana, Martínez-Losada Emilio, Crespo-Ramírez Silvia, Lestón-Lado Lola, Salamero-Tura Núria, Llobera-Estrany Joana, Oriol-Peregrina Núria, Moreno-Gabriel Eduard, Manresa-Domínguez Josep Maria, Torán-Monserrat Pere
Home Care Program, Granollers Support Team (PADES), Vallès Oriental Primary Care Service, Catalan Health Institute, 08520 Granollers, Spain.
Multidisciplinary Research Group on Health and Society (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain.
Healthcare (Basel). 2021 Feb 4;9(2):165. doi: 10.3390/healthcare9020165.
Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and to be valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centred care at a practical level, a methodological study was carried out to assess the face validity of the model. In particular, a Delphi method involving a group of 14 experts representing the full spectrum of healthcare professionals involved in palliative care was carried out. The results show that there is a high level of agreement, with a content validity index-item greater than 0.92 both with regard to the complexity model and the HexCom-Red, HexCom-Basic, and the HexCom-Clin instruments, and higher than 0.85 regarding the HexCom-Figure and the HexCom-Patient instruments. This consensus confirms that the HexCom model and the different instruments that are derived from it are valued as useful tools for a broad range of healthcare professional in coordinately capturing complexity in healthcare practice.
在姑息治疗中,把握复杂性既是一个概念上的挑战,也是一个实际操作上的挑战。HexCom模型已被证明是一种可靠性很强的工具,并且在描述居家护理患者的需求和优势方面是有效的。为了探究该模型在实际层面是否也被认为有助于加强协调一致且以患者为中心的护理,开展了一项方法学研究来评估该模型的表面效度。具体而言,采用了德尔菲法,涉及一组14名代表姑息治疗领域所有医疗专业人员的专家。结果表明,达成了高度共识,复杂性模型、HexCom-Red、HexCom-Basic和HexCom-Clin工具的内容效度指数项均大于0.92,HexCom-Figure和HexCom-Patient工具的内容效度指数项高于0.85。这一共识证实,HexCom模型及其衍生出的不同工具被视为有用的工具,可帮助广大医疗专业人员在医疗实践中协调一致地把握复杂性。