Evidence map›Paper›PMID 27250117›Full record

ArticleBMC health services research2016

Development of a survey instrument to measure patient experience of integrated care.

Kara Odom Walker, Anita L Stewart, Kevin Grumbach

Abstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Developing a Patient Experience Questionnaire for the Man Van Mobile Clinical Unit.Health expectations : an international journal of public participation in health care and health policy · 2025
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  12. Mirror meetings with frail older people and multidisciplinary primary care teams: Process and impact analysis.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  13. Development and Preliminary Validation of the Lung Transplant Quality of Life (LT-QOL) Survey.American journal of respiratory and critical care medicine · 2019
    Article
  14. Article
  15. Review
  16. Measuring Integrated Care - The Quest for Disentangling a Gordian Knot.International journal of integrated care · 2016
    Article
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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

3 authors.

Kara Odom WalkerPatient Centered Outcomes Research Institute, Washington, DC, USA. kwalker@pcori.org.
Anita L StewartInstitute for Health & Aging, Center for Aging in Diverse Communities, University of California-San Francisco, San Francisco, CA, USA.
Kevin GrumbachDepartment of Family and Community Medicine, University of California-San Francisco, San Francisco, CA, USA.

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAH S KARLINER · 1997 to 2026
$19.5M
NCRR NIH HHS UL1 RR024131NIA NIH HHS P30 AG015272
6 · The paper itself

Abstract

backgroundHealthcare systems are working to move towards more integrated, patient-centered care. This study describes the development and testing of a multidimensional self-report measure of patients' experiences of integrated care.

methodsRandom-digit-dial telephone survey in 2012 of 317 adults aged 40 years or older in the San Francisco region who had used healthcare at least twice in the past 12 months. One-time cross-sectional survey; psychometric evaluation to confirm dimensions and create multi-item scales. Survey data were analyzed using VARCLUS and confirmatory factor analysis and internal consistency reliability testing.

resultsScales measuring five domains were confirmed: coordination within and between care teams, navigation (arranging appointments and visits), communication between specialist and primary care doctor, and communication between primary care doctor and specialist. Four of these demonstrated excellent internal consistency reliability. Mean scale scores indicated low levels of integration.

conclusionThese scales measuring integrated care capture meaningful domains of patients' experiences of health care. The low levels of care integration reported by patients in the study sample suggest that these types of measures should be considered in ongoing evaluations of health system performance and improvement. Further research should examine whether differences in patient experience of integrated care are associated with differences in the processes and outcomes of care received.

Indexed as

Delivery of Health Care, IntegratedAdultAgedCommunicationCross-Sectional StudiesFactor Analysis, StatisticalFemaleHealth Care SurveysHumansInterprofessional RelationsMaleMiddle AgedPatient Care TeamPatient-Centered CarePatient SatisfactionPsychometricsIntegrated carePatient experienceScale development

Identifiers

PMID27250117
PMCPMC4890282

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.