The "Patient-centered coordination by a care team" questionnaire achieves satisfactory validity and reliability

Area of Science:

• Health Services Research
• Psychometrics
• Primary Care Medicine

Background:

• Rising chronic conditions and multimorbidity necessitate patient-centered care coordination.
• Valid instruments are crucial for implementing and evaluating health policies focused on care coordination.
• The Patient-Centered Coordination by a Care Team (PCCCT) questionnaire aims to measure this dimension of care.

Purpose of the Study:

• To validate the French version of the 14-item PCCCT questionnaire in a primary care setting.
• To assess the psychometric properties, including validity and reliability, of the PCCCT questionnaire.
• To determine the suitability of the PCCCT for evaluating team-based care in primary healthcare.

Main Methods:

• A validation study involving 165 adult primary care patients with chronic conditions.
• Administration of the PCCCT questionnaire at recruitment and a 3-week follow-up (mail or telephone).
• Exploratory factor analysis, correlation with Haggerty's continuity questionnaire, and reliability analyses (Cronbach's alpha, ICC).

Main Results:

• Exploratory factor analysis identified a 2-dimension structure (patient involvement and coordination).
• PCCCT scores showed significant correlations with continuity of care measures.
• Excellent internal consistency (Cronbach's alpha = 0.90) and good test-retest reliability (ICC = 0.68).

Conclusions:

• The French version of the PCCCT questionnaire demonstrates satisfactory validity and reliability.
• The PCCCT is a suitable instrument for evaluating patient-centered care coordination in primary care.
• It can be effectively used to assess team-based healthcare organizations and interventions.