Nijmegen Continuity Questionnaire: Development and testing of a questionnaire that measures continuity of care

Uijen, Annemarie; Schellevis, François G.; Bosch, W.J.H.M. van den; Mokkink, Henk; Weel, Chris van; Schers, Henk

doi:10.1016/j.jclinepi.2011.03.006

Cited by 83 publications

(118 citation statements)

References 15 publications

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“…Principal component analysis would confirm the previously found three continuity subscales 11 -personal continuity: care provider knows me, personal continuity: care provider shows commitment, and team/cross-boundary continuity;…”

Section: Validitysupporting

confidence: 61%

“…In a previous pilot study, the NCQ was distributed among patients with a chronic disease recruited from general practice. 11 As the NCQ had been changed during the pilot testing, and it was wanted to test it in both primary and secondary care, another sample of participants was used.…”

Section: Participants and Designmentioning

confidence: 99%

“…11 In a preliminary study, the NCQ proved to be promising for use with patients in primary care; however, further testing of reliability and validity is needed before it can be more widely implemented. The aim of this study, therefore, was to assess the psychometric properties (validity and reliability) of the NCQ.…”

Section: Introductionmentioning

confidence: 99%

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Measuring continuity of care: psychometric properties of the Nijmegen Continuity Questionnaire

Uijen

Schers²,

Schellevis³

et al. 2012

Br J Gen Pract

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BackgroundRecently, the Nijmegen Continuity Questionnaire (NCQ) was developed. It aims to measure continuity of care from the patient perspective across primary and secondary care settings. Initial pilot testing proved promising. AimTo further examine the validity, discriminative ability, and reliability of the NCQ. DesignA prospective psychometric instrument validation study in primary and secondary care in the Netherlands. MethodThe NCQ was administered to patients with a chronic disease recruited from general practice (n = 145) and hospital outpatient departments (n = 123) (response rate 76%). A principal component analysis was performed to confirm three subscales that had been found previously. Construct validity was tested by correlating the NCQ score to scores of other scales measuring quality of care, continuity, trust, and satisfaction. Discriminative ability was tested by investigating differences in continuity subscores of different subgroups. Test-retest reliability was analysed in 172 patients. ResultsPrincipal factor analysis confirmed the previously found three continuity subscales -personal continuity, care provider knows me; personal continuity, care provider shows commitment; and team/cross-boundary continuity. Construct validity was demonstrated through expected correlations with other variables and discriminative ability through expected differences in continuity subscores of different subgroups. Test-retest reliability was high (the intraclass correlation coefficient varied between 0.71 and 0.82). ConclusionThis study provides evidence for the validity, discriminative ability, and reliability of the NCQ. The NCQ can be of value to identify problems in continuity of care. Keywordscontinuity of patient care; factor analysis, statistical; healthcare surveys; questionnaires; reproducibility of results.

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Section: Validitysupporting

confidence: 61%

Section: Participants and Designmentioning

confidence: 99%

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Measuring continuity of care: psychometric properties of the Nijmegen Continuity Questionnaire

Uijen

Schers²,

Schellevis³

et al. 2012

Br J Gen Pract

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“…The second attribute is flexible reaction, it is identified as the ability for patients to get appropriate service when required [16], and the ability for professionals to respond the changing needs and situation over time [14], to provide a tailored service and achieve the shared goals. It is identified as a continuous caring relationship [1].…”

Section: Defining Attributesmentioning

confidence: 99%

“…It is the only one which proved better performance evaluation in primary and secondary health care institutions [16], which has three subscales, personal continuity, personal commitment and multiple continuity. Uijen [16] tested the measurement in 145 cases of community hospitals in outpatients with chronic diseases and 123 outpatients in general hospitals. Common factor extracted by factor analysis explained 88.8%.…”

Section: Empirical Referentsmentioning

confidence: 99%

A Concept Analysis of Continuity of Care in Nursing

Liao¹,

Zeng²,

Xu³

et al. 2018

JPP

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Abstract:Purpose: This paper is a report about the concept analysis of continuity of care, to get further understanding of continuity of care. Methods: The Walker and Avant concept analysis approach was applied in this paper. Results: The three attributes include: seamless transfer, flexible reaction and effective interaction. The antecedents were changed needs and patient centred care. In addition, the continuity of care had a significant effect on patients' outcome, satisfaction and costs. Conclusions: This analysis provides nurses an understanding about continuity of care in both patient's and care provider's perspective. Continuity of care is a tailored services provided by care givers, which is an essential element of healthcare system.

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Interventions to improve continuity of care in the follow-up of patients with cancer

Aubin

Giguère²,

Martin

et al. 2012

Cochrane Database of Systematic Reviews

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Results from this Cochrane review do not allow us to conclude on the effectiveness of included interventions to improve continuity of care on patient, healthcare provider or process of care outcomes. Future research should evaluate interventions that target an improvement in continuity as their primary objective and describe these interventions with the categories proposed in this review. Also of importance, continuity measures should be validated with persons with cancer who have been followed in various settings.

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Nijmegen Continuity Questionnaire: Development and testing of a questionnaire that measures continuity of care

Abstract: The NCQ shows to be a comprehensive, reliable, and valid instrument. Further testing of reliability, construct validity, and responsiveness is needed before the NCQ can be more widely implemented.

Cited by 83 publications

References 15 publications

Measuring continuity of care: psychometric properties of the Nijmegen Continuity Questionnaire

Measuring continuity of care: psychometric properties of the Nijmegen Continuity Questionnaire

A Concept Analysis of Continuity of Care in Nursing

Interventions to improve continuity of care in the follow-up of patients with cancer

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