Hall Ruth E, Walker Kevin, Nessa Nusrat S, Wodchis Walter P
Health System Performance Network, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Institute for Better Health, Trillium Health Partners, Mississauga, Canada.
Int J Integr Care. 2025 Aug 1;25(3):18. doi: 10.5334/ijic.7539. eCollection 2025 Jul-Sep.
Ontario, Canada, is shifting to a more integrated healthcare delivery system through the Ontario Health Team (OHT) initiative. The extent to which OHTs have the capabilities to engage in integrated care is unknown and important to designing implementation supports. This article describes the development and psychometric testing of the Ontario Integrated Care Leadership Survey (OICLS), in 30 OHTs. The OICLS was informed by the Context and Capabilities for Integrated Care framework (CCIC).
The 42-item survey was distributed electronically to 765 eligible leaders across 30 OHTs; 480 (63%) responded representing approximately 600 organizations. Item analyses and scale psychometric analyses were undertaken to reduce the number of items in the CCIC survey tool while maintaining validity and reliability.
The OICLS survey is comprised of 10 domains covering 12 of 17 capabilities identified in the CCIC. In the total sample, Cronbach's alpha exceeded 0.7 for nine of the ten domains. Descriptive responses to each of the 39 OICLS closed-ended survey questions illustrate the areas of strength and weakness and where supports are warranted to advance the formation of integrated care delivery systems.
The OICLS offers a brief and valid assessment of foundational aspects of multi-organizational integrated care initiatives.
加拿大安大略省正在通过安大略省健康团队（OHT）计划转向更加整合的医疗服务提供系统。OHTs参与整合式护理的能力程度尚不清楚，而这对于设计实施支持措施很重要。本文描述了安大略省整合护理领导力调查（OICLS）在30个OHTs中的开发和心理测量测试。OICLS是根据整合护理的背景与能力框架（CCIC）制定的。
这项包含42个条目的调查以电子方式分发给30个OHTs中的765名合格领导者；480人（63%）做出回应，代表约600个组织。进行了项目分析和量表心理测量分析，以减少CCIC调查工具中的项目数量，同时保持有效性和可靠性。
OICLS调查由10个领域组成，涵盖了CCIC中确定的17项能力中的12项。在总样本中，十个领域中有九个领域的克朗巴哈系数超过0.7。对OICLS的39个封闭式调查问题的描述性回答说明了优势和劣势领域，以及在哪些方面需要支持以推动整合式医疗服务提供系统的形成。
OICLS对多组织整合护理计划的基础方面提供了简短而有效的评估。
