Spanish Validation of the “User Reported Measure of Care Coordination” Questionnaire for Older People with Complex, Chronic Conditions

Ester Risco, Glòria Sauch, Anna Albero, Nihan Acar-Denizli, Adelaida Zabalegui, Belchin Kostov, Paloma Amil, Albert Alonso, Ana Rios, Jaume Martín and Núria Fabrellas
Additional contact information
Ester Risco: Intermediated Care Hospital Parc Sanitari Pere Virgili, 08035 Barcelona, Spain
Glòria Sauch: Research Support Unit Catalunya Central, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Catalan Health Institute, Catalunya Central, 08272 Sant Fruitós del Bages, Spain
Anna Albero: Emergency Department, Hospital Clínic de Barcelona, 08036 Barcelona, Spain
Nihan Acar-Denizli: Department of Statistics, Faculty of Science and Letters, Mimar Sinan Fine Arts University, 34427 Istanbul, Turkey
Adelaida Zabalegui: FEANS, Hospital Clinic de Barcelona, 08036 Barcelona, Spain
Belchin Kostov: Primary Healthcare Transversal Research Group, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Primary Care Centre Les Corts, Consorci d’Atenció Primària de Salut Barcelona Esquerra (CAPSBE), 08036 Barcelona, Spain
Paloma Amil: Chronicity Prevention and Care Programme, Health Planning General Directorate, Ministry of Health, Government of Catalonia, 08028 Barcelona, Spain
Albert Alonso: Fundació Clínic per a la Recerca Biomèdica, 08036 Barcelona, Spain
Ana Rios: Catalan Health Institute, 08007 Barcelona, Spain
Jaume Martín: Research Suport Unit Barcelona, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Catalan Health Institute Barcelona, 08025 Barcelona, Spain
Núria Fabrellas: Department of Public Health, Mental Health and Perinatal Nursing, Universitat de Barcelona, 08907 Barcelona, Spain

IJERPH, 2020, vol. 17, issue 18, 1-13

Abstract: Introduction: Older people with complex, chronic conditions often receive insufficient or inefficient care provision, and few instruments are able to measure their perception of care provision. The “User Reported Measure of Care Coordination” instrument has been satisfactorily used to evaluate chronic care provision and integration. The aim of this study is to validate this instrument in Spanish. Methods: The questionnaire was adapted and validated in two phases: translation and cultural adaptation of the questionnaire and psychometric property measurement. Study population were chronic care conditions patients. Results: A total of 332 participants completed test re-test as part of the questionnaire validation process. The final version of the questionnaire had 6 domains: Health and Well-being (D1), Health day to day (D2), Social Services (D3), Planned Care (D4), Urgent Care (D5), and Hospital Care (D6). Cronbach’s alpha for the overall questionnaire was 0.86, indicating good internal consistency. When analyzing each domain, only Planned Care (D4) and Urgent Care (D5) had Cronbach’s Alphas slightly lower than 0.7, although this could be related to the low number of items in each domain. A good temporal stability was observed for the distinct subscales and items, with intraclass correlation coefficients varying from 0.412 to 0.929 ( p < 0.05). Conclusion: The adapted version of the “User Reported Measure of Care Coordination” into Spanish proved to be a practical tool for use in our daily practice and an efficient instrument for assessment of care coordination in chronic, complex conditions in older people across services and levels of care.

Keywords: integrated care; social care; health care; older people; comorbidity; person centered care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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