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. 2024 Dec 31;24(1):1668.
doi: 10.1186/s12913-024-12156-9.

Development and validation of the Chinese patient-centered integrated care scale

Yue Yin #  1   2 , Wenqing Gao #  1   2 , Xiujuan Cui  1   2 , Wenxi Tang  3   4   5
Affiliations

Development and validation of the Chinese patient-centered integrated care scale

Yue Yin et al. BMC Health Serv Res. .

Abstract

Background: The healthcare system is currently facing challenges in transitioning to a more integrated, patient-centered care. China has implemented various practical exploration and pilot programs in developing an integrated healthcare service system. However, there remains an absence of appropriate instrument to assess integrated care from the patient's perspective, particularly one that aligns with China's national conditions.

Methods: Using a literature review, Delphi methods, a pilot study involving 171 chronic patients in Guangdong Province, and the analytic hierarchy process, we developed and validated the Chinese Patient-Centered Integrated Care (CPCIC) with a weighting system.

Results: The results of exploratory factor analysis indicated CPCIC scale had robust structural validity. The overall Cronbach's α coefficient was 0.868, signifying excellent internal consistency. The final scale included four first-level indicators (dimensions): services responsiveness, services convenience, services continuity and services coordination and 14 s-level indicators (items). The assigned weights of these dimensions were 0.1070, 0.2926, 0.4155 and 0.1849, respectively.

Conclusions: The four-dimension, 14-item CPCIC scale with a weighting system was successfully developed and validated. The scale provides a reliable and valid instrument for evaluating the degree of integrated care from the patient's perspective, and has potential applications in informing the reform of China's healthcare system to enhance patient-centered care.

Keywords: Analytic hierarchy process; Delphi method; Instrument; Integrated care; Validation studies.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Ethics approval is deemed unnecessary by the Ethics Committee of China Pharmaceutical University. The study did not involve human tissues and the questionnaire did not violate personal privacy. Participation was entirely anonymous and informed oral consent was obtained from all participants prior to their involvement in the study. The rights of the respondents were safeguarded under the supervision of the Community Health Service Centre of Health Commission of Shenzhen Municipality. To ensure participant anonymity, all personal identifiers were eliminated during the data analysis process, and the individuals responsible for data analysis were not involved in the interviewing process. Besides, all data were stored in a password-protected database, with access strictly limited to the research team. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Process of developing and validating the scale
Fig. 2
Fig. 2
Final version of the CPCIC scale
See this image and copyright information in PMC

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