Measuring Integration of Cancer Services to Support Performance Improvement: The CSI Survey.
OBJECTIVE
To develop a measure of cancer services integration (CSI) that can inform clinical and administrative decision-makers in their efforts to monitor and improve cancer system performance.


METHODS
We employed a systematic approach to measurement development, including review of existing cancer/health services integration measures, key-informant interviews and focus groups with cancer system leaders. The research team constructed a Web-based survey that was field- and pilot-tested, refined and then formally conducted on a sample of cancer care providers and administrators in Ontario, Canada. We then conducted exploratory factor analysis to identify key dimensions of CSI.


RESULTS
A total of 1,769 physicians, other clinicians and administrators participated in the survey, responding to a 67-item questionnaire. The exploratory factor analysis identified 12 factors that were linked to three broader dimensions: clinical, functional and vertical system integration.


CONCLUSIONS
The CSI Survey provides important insights on a range of typically unmeasured aspects of the coordination and integration of cancer services, representing a new tool to inform performance improvement efforts.
Dobrow
Mark J
MJ
Scientist, Cancer Services and Policy Research Unit, Cancer Care Ontario.
Paszat
Lawrence
L
Golden
Brian
B
Brown
Adalsteinn D
AD
Holowaty
Eric
E
Orchard
Margo C
MC
Monga
Neerav
N
Sullivan
Terrence
T