ArticleBMC health services research2020
Validation of the care providers version of the Rainbow Model of Integrated Care-measurement tool in Chinese primary care systems.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Measuring integrated hypertension care in community health centers: a cross-sectional study based on the Rainbow Model of Integrated Care in Chengdu, China.BMC health services research · 2026Article
- Cambodia's Care Services for Individuals With Disabilities (Hearing Loss and Ear Disease): A Perspective on Challenges and the Urgent Need for Improvement.Health science reports · 2026Article
- Evaluation of the Effectiveness of Close-Knit Medical Alliances on the Integration of HIV Prevention and Treatment in County-Level Areas in China: Protocol for a Delphi Study.JMIR research protocols · 2025Article
- Access to ear and hearing care services in Cambodia: a qualitative enquiry into experiences of key informants.The Journal of laryngology and otology · 2024Article
- Patients' and Care Professionals' Evaluation of the Effect of a Hospital Group on Integrated Care in Chinese Urban Health Systems: A Propensity Score Matching and Difference-in-differences Regression Approach.International journal of health policy and management · 2023Article
- Effect of Collaborative Governance on Medical and Nursing Service Combination: An Evaluation Based on Delphi and Entropy Method.Healthcare (Basel, Switzerland) · 2021Article
- A Validation Study of the Rainbow Model of Integrated Care-Measurement Tool for Patients in China.International journal of integrated care · 2021Article
- Construct Validation of the Rainbow Model of Integrated Care Measurement Tool in Dutch Primary Care for Older Adults.International journal of integrated careArticle
- Implementation of Integrated Care for the Aged Population in Anhui and Fujian Province of China: A Qualitative Study.International journal of integrated careArticle
- Evolutionary Trends in Integrated Care in 2000-2020 in China: A Scientometric Review Using CiteSpace.International journal of integrated careArticle
- Effect of Team Composition on Integrated Care Within Multidisciplinary Family Doctor Teams in China: Inter-Professional Collaboration as Mediator.International journal of integrated careArticle
- Construction and Practice of the County Integrated Healthcare System in China: A Case Study of Shaxian, Sanming.International journal of integrated careArticle
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Authors and funding
5 authors.
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Abstract
backgroundThe original Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) is based on the Rainbow Model of Integrated Care (RMIC), which provides a comprehensive theoretical framework for integrated care. To translate and adapt the original care provider version of the RMIC-MT and evaluate its psychometric properties by a pilot study in Chinese primary care systems.
methodsThe translation and adaptation process were performed in four steps, forward and back-translation, experts review and pre-testing. We conducted a cross-sectional study with 1610 community care professionals in all 79 community health stations in the Nanshan district. We analyzed the distribution of responses to each item to study the psychometric sensitivity. Exploratory factor analysis with principal axis extraction method and promax rotation was used to assess the construct validity. Cronbach's alpha was utilized to ascertain the internal consistency reliability. Lastly, confirmation factor analysis was used to evaluate the exploratory factor analysis model fit.
resultsDuring the translation and adaptation process, all 48 items were retained with some detailed modifications. No item was found to have psychometric sensitivity problems. Six factors (person- & community-centeredness, care integration, professional integration, organizational integration, cultural competence and technical competence) with 45 items were determined by exploratory factor analysis, accounting for 61.46% of the total variance. A standard Cronbach's alpha of 0.940 and significant correlation among all items in the scale (> 0.4) showed good internal consistency reliability of the tool. And, the model passed the majority of goodness-to-fit test by confirmation factor analysis.
conclusionsThe results showed initial satisfactory psychometric properties for the validation of the Chinese RMIC-MT provider version. Its application in China will promote the development of people-centered integrated primary care. However, further psychometric testing is needed in multiple primary care settings with both public and private community institutes.
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