Evidence map›Paper›PMID 24363638›Full record

ArticleInternational journal of integrated care2013

A tool for assessing continuity of care across care levels: an extended psychometric validation of the CCAENA questionnaire.

Marta-Beatriz Aller, Ingrid Vargas, Irene Garcia-Subirats, Jordi Coderch, Lluís Colomés, Josep Ramon Llopart, Manel Ferran, Inma Sánchez-Pérez, M Luisa Vázquez

Abstract read
In one paragraph

Article in International journal of integrated care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Factors affecting the experience of joined-up, continuous primary care in the absence of relational continuity: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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  19. Women's Empowerment in the Context of Rural West Bengal: An Index Construction with Exploratory Factor Analysis.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marta-Beatriz AllerHealth Policy and Health Services Research Group, Health Policy Research Unit. Consortium for Health Care and Social Services of Catalonia, Barcelona, Spain.
Ingrid VargasHealth Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona, Spain.
Irene Garcia-SubiratsHealth Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona, Spain.
Jordi CoderchGrup de Recerca en Serveis Sanitaris i Resultats en Salut (GRESSIRES), Serveis de Salut Integrats Baix Empordà, PalamÓs, Spain.
Lluís ColomésHealth Policy and Health Services Research Group; Strategic Planning Division, SAGESSA Group, Reus, Spain.
Josep Ramon LlopartHealth Policy and Health Services Research Group; Division of Management, Planning and Organizational Development, Badalona Healthcare Services (BSA), Badalona, Spain.
Manel FerranTeaching Department, Catalan Health Institute (ICS), Barcelona, Spain.
Inma Sánchez-PérezGrup de Recerca en Serveis Sanitaris i Resultats en Salut (GRESSIRES), Serveis de Salut Integrats Baix, PalamÓs, Spain.
M Luisa VázquezHealth Policy and Health Services Research Group, Health Policy Research Unit, Consortium for Health Care and Social Services of Catalonia, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe CCAENA questionnaire was developed to assess care continuity across levels from the patients' perspective. The aim is to provide additional evidence on the psychometric properties of the scales of this questionnaire.

methodsCross-sectional study by means of a survey of a random sample of 1500 patients attended in primary and secondary care in three health care areas of the Catalan health care system. Data were collected in 2010 using the CCAENA questionnaire. To assess psychometric properties, an exploratory factor analysis was performed (construct validity) and the item-rest correlations and Cronbach's alpha were calculated (internal consistency). Spearman correlation coefficients were calculated (multidimensionality) and the ability to discriminate between groups was tested.

resultsThe factor analysis resulted in 21 items grouped into three factors: patient-primary care provider relationship, patient-secondary care provider relationship and continuity across care levels. Cronbach's alpha indicated good internal consistency (0.97, 0.93, 0.80) and the correlation coefficients indicated that dimensions can be interpreted as separated scales. Scales discriminated patients according to health care area, age and educational level.

conclusionThe CCAENA questionnaire has proved to be a valid and reliable tool for measuring patients' perceptions of continuity. Providers and researchers could apply the questionnaire to identify areas for health care improvement.

Indexed as

continuity of patient caredelivery of health careoutcome and process assessment (health care)questionnaires

Identifiers

PMID24363638
PMCPMC3860582

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.