title: Development and preliminary validation of the Patient Perceptions of Integrated Care survey.
abstract: Valid measures of the integration of patient care could provide rapid and accurate feedback on the successfulness of current efforts to improve health care delivery systems. This article describes the development and pilot testing of a new survey, based on a novel conceptual model, which measures the integration of patient care as experienced by patients. We administered the survey to 1,289 patients with multiple chronic conditions from one health system and received responses from 527 patients (43%). Psychometric analysis of responses supported a six-dimension model of integration with satisfactory internal consistency, discriminant validity, and goodness of fit. The Patient Perceptions of Integrated Care survey can be used to measure the integration of care received by chronically ill patients for two main purposes: as a research tool to compare interventions intended to improve the integration of care and as a quality improvement tool intended to guide the refinement of delivery system innovations.
authors.affiliation: Harvard School of Public Health, Boston, MA 02115, USA. ssinger@hsph.harvard.edu
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Singer
authors.forename: Mark W
authors.initials: MW
authors.lastname: Friedberg
authors.forename: Mathew V
authors.initials: MV
authors.lastname: Kiang
authors.forename: Toby
authors.initials: T
authors.lastname: Dunn
authors.forename: Diane M
authors.initials: DM
authors.lastname: Kuhn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease / Q000628:therapy; D019033:Delivery of Health Care, Integrated / Q000592:standards*; D005163:Factor Analysis, Statistical; D005260:Female; D019538:Health Care Surveys / Q000379:methods / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011594:Psychometrics; D011787:Quality of Health Care; D015203:Reproducibility of Results; D055815:Young Adult