PDF(Pubmed)
Abstract：
UNASSIGNED: Both care continuity and coordination are considered essential elements of health care system. However, little is known about the relationship between care continuity and coordination. This study aimed to differentiate the concepts of care continuity and coordination by developing and testing the reliability and validity of the Combined Outpatient Care Continuity and Coordination Assessment (COCCCA) questionnaire under the universal coverage health care system in Taiwan from a patient perspective.
UNASSIGNED: Face-to-face interviews were conducted nationwide with community-dwelling older adults selected via stratified multistage systematic sampling with probability-proportional-to-size process. A total of 2,144 subjects completed the questionnaire, with a response rate of 44.67%.
UNASSIGNED: The 16 items of the COCCCA questionnaire were identified via item analysis and principal component analysis (PCA). The PCA generated five dimensions: three continuity-oriented (interpersonal, information sharing and longitudinal between patients and physicians) and two coordination-oriented (information exchange and communication/cooperation among multiple physicians). The second-order confirmatory factor analysis supported the factor structure and indicated that distinct constructs of care continuity and coordination can be identified.
UNASSIGNED: The COCCCA instrument can differentiate the concepts of care continuity and care coordination and has been demonstrated to be valid and reliable in outpatient care settings from a patient perspective.
UNASSIGNED: Face-to-face interviews were conducted nationwide with community-dwelling older adults selected via stratified multistage systematic sampling with probability-proportional-to-size process. A total of 2,144 subjects completed the questionnaire, with a response rate of 44.67%.
UNASSIGNED: The 16 items of the COCCCA questionnaire were identified via item analysis and principal component analysis (PCA). The PCA generated five dimensions: three continuity-oriented (interpersonal, information sharing and longitudinal between patients and physicians) and two coordination-oriented (information exchange and communication/cooperation among multiple physicians). The second-order confirmatory factor analysis supported the factor structure and indicated that distinct constructs of care continuity and coordination can be identified.
UNASSIGNED: The COCCCA instrument can differentiate the concepts of care continuity and care coordination and has been demonstrated to be valid and reliable in outpatient care settings from a patient perspective.
摘要：
UNASSIGNED：护理连续性和协调性都被认为是卫生保健系统的基本要素。然而,对护理连续性和协调之间的关系知之甚少。本研究旨在从患者的角度，通过开发和测试台湾全民覆盖医疗保健系统下的综合门诊护理连续性和协调性评估（COCCCA）问卷的信度和效度，来区分护理连续性和协调性的概念。
UNASSIGNED：在全国范围内对社区居住的老年人进行了面对面的访谈，该访谈是通过分层的多阶段系统抽样选择的，具有概率与大小成正比的过程。共有2,144名受试者填写了问卷,有效率为44.67%。
UNASSIGNED：通过项目分析和主成分分析（PCA）确定了COCCCA问卷的16个项目。PCA产生了五个维度：三个连续性导向(人际，患者和医生之间的信息共享和纵向）和两个以协调为导向（多个医生之间的信息交换和沟通/合作）。二阶验证性因子分析支持因子结构，并表明可以识别护理连续性和协调性的不同结构。
UNASSIGNED：COCCCA工具可以区分护理连续性和护理协调的概念，并已被证明从患者的角度在门诊护理环境中是有效和可靠的。
UNASSIGNED：在全国范围内对社区居住的老年人进行了面对面的访谈，该访谈是通过分层的多阶段系统抽样选择的，具有概率与大小成正比的过程。
UNASSIGNED：通过项目分析和主成分分析（PCA）确定了COCCCA问卷的16个项目。
UNASSIGNED：COCCCA工具可以区分护理连续性和护理协调的概念，并已被证明从患者的角度在门诊护理环境中是有效和可靠的。
