dc.contributor.author | Hetlevik, Øystein | en_US |
dc.contributor.author | Hustoft, Merethe | en_US |
dc.contributor.author | Uijen, Annemarie | en_US |
dc.contributor.author | Assmus, Jörg | en_US |
dc.contributor.author | Gjesdal, Sturla | en_US |
dc.date.accessioned | 2018-08-15T13:08:49Z | |
dc.date.available | 2018-08-15T13:08:49Z | |
dc.date.issued | 2017-11-21 | |
dc.Published | Hetlevik Ø, Hustoft M, Uijen, Assmus J, Gjesdal S. Patient perspectives on continuity of care: Adaption and preliminary psychometric assessment of a Norwegian version of the Nijmegen Continuity Questionnaire (NCQ-N). BMC Health Services Research. 2017;17:760 | eng |
dc.identifier.issn | 1472-6963 | |
dc.identifier.uri | https://hdl.handle.net/1956/18104 | |
dc.description.abstract | Background: Continuity of care is regarded as a core quality element in healthcare. Continuity can be related to one or more specific caregivers but also applies to collaboration within a team or across boundaries of healthcare. Measuring continuity is important to identify problems and evaluate quality improvement of interventions. This study aimed to assess the feasibility and psychometric properties of a Norwegian version of the Nijmegen Continuity Questionnaire (NCQ). Methods: The NCQ was developed in The Netherlands. It measures patients’ experienced continuity of care across multiple care settings and as a multidimensional concept regardless of morbidity. The NCQ comprises 28 items categorised into three subscales; two personal continuity scales, “care giver knows me” and “shows commitment”, asked regarding the patient’s general practitioner (GP) and the most important specialist; and one “team/cross boundary continuity” scale, asked regarding primary care, specialised care and cooperation between GP and specialist, with a total of seven factors. The NCQ was translated and adapted to Norwegian (NCQ-N) and distributed among patients referred to somatic rehabilitation (N = 984, response rate 34.5%). Confirmatory factor analyses (CFA), Cronbach’s alpha, intra-class correlation (ICC) and Bland–Altman plots were used to assess psychometric properties. Results: All patients (N = 375) who had responded to all parts of the NCQ-N were included in CFA. The CFA fit indices (CFI 0.941, RMSEA 0.064 (95% CI 0.059–0.070), SRMR 0.041) support a seven-factor structure in the NCQ-N based on the three subscales of the original NCQ. Cronbach’s alpha showed internal consistency (0.84–0.97), and was highest for the team/cross-boundary subscales. The NCQ-N showed overall high reliability with ICC 0.84–91 for personal continuity factors and 0.67–0.91 for team factors, with the lowest score for team continuity within primary care. Conclusions: Psychometric assessment of the NCQ-N supports that this instrument, based on the three subscales of the original Dutch NCQ, captures the concept of “continuity of care” among adult patients with a variety of longstanding medical conditions who use healthcare on a regular basis. However, its usefulness among varied patient groups, including younger people, patients with acute disorders and individuals with mental health problems, should be further evaluated. | en_US |
dc.language.iso | eng | eng |
dc.publisher | BioMed Central | eng |
dc.rights | Attribution CC BY | eng |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0 | eng |
dc.subject | Continuity of care | eng |
dc.subject | Patient reported outcome measure | eng |
dc.subject | Healthcare | eng |
dc.subject | General practice | eng |
dc.subject | Health service research | eng |
dc.title | Patient perspectives on continuity of care: Adaption and preliminary psychometric assessment of a Norwegian version of the Nijmegen Continuity Questionnaire (NCQ-N) | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2018-03-07T14:11:17Z | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2017 The Author(s) | |
dc.identifier.doi | https://doi.org/10.1186/s12913-017-2706-1 | |
dc.identifier.cristin | 1529028 | |
dc.source.journal | BMC Health Services Research | |