EXPERTS' JUDGEMENT ON PATIENT-CENTRED COORDINATED CARE

Author(s)

Mühlbacher AC1, Juhnke C2, Bethge S21HS Neubrandenburg, Neubrandenburg, Germany, 2Hochschule Neubrandenburg, Neubrandenburg, Germany

OBJECTIVES: Delivering care coordination services is often described as the key to effectively meet patients’ needs and expectations. Patient empowerment and patient participation is highly discussed and postulated, but there is a lack of knowledge of how to design patient-centered coordinated care. This study intends to provide health policy and decision-makers with a comprehensive assessment on experts’ priorities in the relative value of different dimensions of coordinated care. METHODS: A questionnaire with 88 items was conducted with N=251 health care experts. Exploratory and confirmatory factor analysis was performed using SPSS©18. The number of factors to be retained was controlled by Kaiser's criterion (eigenvalues above 1), validation of the scree plot, and the interpretability of the items. Cronbach’s alpha was used to assess the internal consistency of the subscales identified. RESULTS: The exploratory factor analysis leaded to 25 factors. After analyzing the screeplots and qualitative results confirmatory factor analysis was computed for an 8 factor solution accounting for 42,828 % of the total variance and with KMO of 0.723. Cronbach alpha reliability coefficients were computed for each of the sub-scales and ranged between 0.849 and 0.745. Based on the existing literature and the analysis conducted, coordinated care could be differentiated into eight dimensions: access, knowledge transfer, technical care, interpersonal care, patient-centeredness, continuity, infrastructure and participation in social life. CONCLUSIONS: The aim of the study was to structure the key attributes for future stated preference research. Differences in experts’ judgment and patients’ perspective will be analyzed in upcoming research. If expectations of stakeholders are taken into account adequately, it can be assumed that this will increase the motivation to participate in and the satisfaction with coordinated care programs.

Conference/Value in Health Info

2010-11, ISPOR Europe 2010, Prague, Czech Republic

Value in Health, Vol. 13, No. 7 (November 2010)

Code

PMC44

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Multiple Diseases

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