| Measuring continuity of care for cardiac patients: development of a patient self-report questionnaire. | |
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MedLine Citation:
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PMID: 15010745 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Continuity of care can be a challenge for cardiac patients, many of whom require chronic and complex management from a variety of health care personnel in multiple settings. For health services research, measures are needed that encompass the multifaceted nature of continuity of care for cardiac patients. OBJECTIVE: To assess continuity of care from the patient's perspective, a comprehensive self-report instrument of continuity of care for patients with congestive heart failure and atrial fibrillation was developed and validated. METHODS: Based on published work, patient interviews and provider input, the Heart Continuity of Care Questionnaire (HCCQ) was developed to assess various aspects of care in the transition from hospital to home. The HCCQ covered a variety of content areas relevant to cardiac care. The HCCQ and either the Continuity of Care Index (CCI) or the Minnesota Living with Heart Failure Questionnaire (MLHFQ) were completed by 83 patients who had been discharged for at least six months. RESULTS: Most items had good response rates. The subscales, defined a priori, had good reliability (subscales alpha ranged from 0.80 to 0.93). The HCCQ and its subscales had strong correlations with the CCI but not the MLHFQ. The HCCQ subscales demonstrated better known group validity than the CCI. CONCLUSIONS: In this preliminary study, the HCCQ appears to be a comprehensive, reliable and valid measure of continuity of care from the patient perspective. Further studies of the validity, generalizability and use are needed. |
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Authors:
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Kristine M Kowalyk; Heather D Hadjistavropoulos; H Jay Biem |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Canadian journal of cardiology Volume: 20 ISSN: 0828-282X ISO Abbreviation: Can J Cardiol Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-03-10 Completed Date: 2004-04-23 Revised Date: 2008-04-09 |
Medline Journal Info:
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Nlm Unique ID: 8510280 Medline TA: Can J Cardiol Country: Canada |
Other Details:
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Languages: eng Pagination: 205-12 Citation Subset: IM |
Affiliation:
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Department of Psychology, University of Regina and Research and Performance Support, Regina Qu'Appelle Health Region, Saskatchewan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Atrial Fibrillation / diagnosis, psychology, therapy* Continuity of Patient Care* Female Follow-Up Studies Health Knowledge, Attitudes, Practice Heart Failure / diagnosis, psychology, therapy* Humans Length of Stay Male Middle Aged Patient Admission Questionnaires Reproducibility of Results Self Care Sickness Impact Profile Statistics as Topic Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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