title: Assessing the Validity of a Continuum-of-care Survey: A Rasch Measurement Approach.
abstract: Satisfied patients are more likely to be compliant, have better outcomes, and are more likely to return to the same provider or institution for future care. The Satisfaction with a Continuum of Care survey (SCC) was designed to improve patient care using measures of patient satisfaction and facilitate a cultural shift from a "silos-of-care" to a "continuum-of-care" mentality by fostering inter-departmental communication as patients moved between environments of care at a Midwestern rehabilitation hospital. This study provides a Rasch measurement framework for investigating issues related to survey reliability and validity. The results indicate that although certain aspects of the survey seem to function in a psychometrically sound manner, the questions are too easy to endorse and provide little information to help improve patient care. Suggestions for future revisions to this survey instrument are provided.
authors.affiliation: Michael R. Peabody, American Board of Family Medicine, 1648 McGrathiana Pkwy. Ste. 550, Lexington, KY 40511, USA, mpeabody@theabfm.org.
authors.forename: Michael
authors.initials: M
authors.lastname: Peabody
authors.forename: Kelly D
authors.initials: KD
authors.lastname: Bradley
authors.forename: Melba
authors.initials: M
authors.lastname: Custer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D003198:Computer Simulation; D003266:Continuity of Patient Care / Q000145:classification* / Q000706:statistics & numerical data*; D003627:Data Interpretation, Statistical; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011594:Psychometrics / Q000379:methods; D054928:Validation Studies as Topic; D055815:Young Adult