Study on the construction of a survey tool for continuity of care in close county medical community
QIU Yixuan DAI Tao▲ ZHENG Ying ZHU Xiaoli HU Jia
Center for Health Policy and Management, Institute of Medical Information, Peking Union Medical College ＆ Chinese Academy of Medical Sciences, Beijing 100020, China
Abstract：Objective To construct a survey tool for continuity of care in close county medical community and to provide empirical evidence for the construction and improvement of close county medical community. Methods Based on the theoretical framework of “relationship continuity, information continuity and management continuity”, literature analysis and thematic frame analysis were used to compile questionnaire items. A questionnaire survey was conducted among 250 residents in close county medical community in Dancheng County, He’nan Province in December 2020 to evaluate the reliability and validity of the questionnaire. Results Based on the 57 literatures finally included, eight key elements of evaluation were summarized and extracted, and a survey tool containing ten items was preliminarily formed. The overall Cronbach’s α coefficient was 0.82, with high reliability. The results of factor analysis showed that the structural validity of this survey tool was good. Conclusion A survey tool for continuity of care in close county medical community with good reliability and validity is preliminarily constructed, which can provide reference for the evaluation of integrated medical and health care system in the future.
邱译萱 代涛▲ 郑英 朱晓丽 胡佳. 紧密型县域医共体卫生服务连续性调查工具的构建研究[J]. 中国医药导报, 2021, 18(15): 137-140.
QIU Yixuan DAI Tao▲ ZHENG Ying ZHU Xiaoli HU Jia. Study on the construction of a survey tool for continuity of care in close county medical community. 中国医药导报, 2021, 18(15): 137-140.
[1] 匡莉.全科医疗核心特征功能概念与内涵界定的研究思路[J].中国卫生政策研究，2017，10（5）：1-6.
[2] 国务院办公厅关于印发全国医疗卫生服务体系规划纲要（2015-2020年）的通知[J].中华人民共和国国务院公报，2015（10）：25-39.
[3] 政策总论：深化中国医药卫生体制改革，建设基于价值的优质服务提供体系[R].中国医药卫生体制改革联合研究合作方，2016.
[4] WHO global strategy on people-centered and integrated health services：interim report [R]. World Health Organization，2015.
[5] 贺睿博，牛亚冬，王静，等.连续性服务：实现县域内分级诊疗的策略选择[J].中华医院管理杂志，2018，34（11）：881-884.
[6] 陈至柔，郑英，代涛，等.一体化医疗卫生服务体系评价框架研究[J].中国卫生政策研究，2018，11（4）：29-35.
[7] 汪涛，陈静，胡代玉，等.运用主题框架法进行定性资料分析[J].中国卫生资源，2006，9（2）：86-88.
[8] Haggerty JL，Roberge D，Freeman GK，et al. Validation of a generic measure of continuity of care：when patients encounter several clinicians [J]. Ann Fam Med，2012，10（5）：443-451.
[9] Aller MB，Vargas I，Garcia-Subirats I，et al. A tool for assessing continuity of care across care levels： an extended psychometric validation of the CCAENA questionnaire [J]. Int J Integr Care，2013，13：e050.
[10] Hu J，Wang Y，Li X. Continuity of Care in Chronic Diseases：A Concept Analysis by Literature Review [J]. J Korean Acad Nurs，2020，50（4）：513-522.
[11] Rucci P，Latour J，Zanello E，et al. Measuring parents’ perspective on continuity of care in children with special health care needs [J]. Int J Integr Care，2015，15：e046.
[12] Tobon JI，Reid GJ，Goffin RD. Continuity of Care in Children’s Mental Health：development of a measure [J]. Adm Policy Ment Health，2014，41（5）：668-686.
[13] Bahr SJ，Weiss ME. Clarifying model for continuity of care：A concept analysis [J]. Int J Nurs Pract，2019，25（2）：e12704.
[14] 王艺萍，李春玲，潘灵爱，等.经重症监护病房治疗出院后的肝移植患者连续性医疗服务利用现状调查[J].中国全科医学，2015，18（27）：3343-3346.
[15] Jahromi VK，Mehrolhassani MH，Dehnavieh R，et al. Continuity of Care Evaluation：The View of Patients and Professionals about Urban Family Physician Program [J]. Int J Prev Med，2017，8：7.
[16] Breton M，Haggerty J，Roberge D，et al. Management continuity in local health networks [J]. Int J Integr Care，2012，12：e14.
[17] Kuusisto A，Asikainen P，Saranto K. Contents of Informational and Management Continuity of Care [J]. Stud Health Technol Inform，2019，264：669-673.
[18] 熊之潔，张炜，杜小青.分级诊疗制度下“医联体”模式实施现状及效果研究[J].中国卫生事业管理，2020，37（4）：248-251.
[19] 匡莉，梁媛，梅洁，等.全科医疗特征功能测量工具基础保健评价工具-成人简短版在我国的适用性研究[J].中国全科医学，2016，19（7）：813-818，823.
[20] 梁思园，何莉，宋宿杭，等.我国医疗联合体发展和实践典型分析[J]. 中国卫生政策研究，2016，9（5）：42-48.
[21] 张露.镇江市医院与社区卫生服务中心纵向协作的效果评价研究[D].南京：南京医科大学，2014.
[22] 万素馨，方伟，孙秋艳.“互联网+医联体”一体化药学服务体系的构建及实践[J].中国药房，2019，30（23）：3199-3204.
[23] 孙振球，徐勇勇.医学统计学（第3版）[M].北京：人民卫生出版社，2010.
[24] 蒋小花，沈卓之，张楠楠，等.问卷的信度和效度分析[J].现代预防医学，2010，37（3）：429-431.
[25] 刘朝杰.问卷的信度与效度评价[J].中国慢性病预防与控制，1997：32-35.
京公网安备 11010502046598号