title: Patients' experiences with continuum of care across hospitals. A multilevel analysis of Consumer Quality Index Continuum of Care.
abstract: OBJECTIVE
  Communication between professionals is essential because it contributes to an optimal continuum of care. Whether patients experience adequate continuum of care is uncertain. To address this, a questionnaire was developed to elucidate this care process from a patients' perspective. In this study, the instrument's ability to measure differences in "Consumer Quality Index Continuum of Care" scores between hospitals was investigated.
  
  
  METHODS
  The questionnaire was mailed to a random sample of 2159 patients and comprised of 22 items divided over four domains, GP approach, GP referral, specialist and collaboration. Multilevel analysis was conducted to identify case-mix and determine this questionnaire's ability to measure differences in domain scores between hospitals.
  
  
  RESULTS
  Based on a 65% response rate, 1404 questionnaires were available for analysis. Case-mix of patient characteristics across hospitals could not be demonstrated. Some differences in scores between hospitals were observed. At most two in eight hospitals showed different domain scores.
  
  
  CONCLUSIONS
  The ability of this questionnaire to measure differences in continuum of care scores between hospitals is limited. The outcome of this survey suggests that hospitals provide a similar level of continuum of care from a patient's perspective.
  
  
  CONCLUSIONS
  This questionnaire is especially useful for measuring differences between patients.
authors.affiliation: Department of General Practice, University Medical Centre Groningen, University of Groningen, The Netherlands. b.j.kollen@med.umcg.nl
authors.forename: Boudewijn J
authors.initials: BJ
authors.lastname: Kollen
authors.forename: Klaas H
authors.initials: KH
authors.lastname: Groenier
authors.forename: Annette J
authors.initials: AJ
authors.lastname: Berendsen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D003625:Data Collection; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000592:standards*; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D055815:Young Adult