Journal
INTERNATIONAL JOURNAL OF INTEGRATED CARE
Volume 23, Issue 1, Pages -Publisher
UBIQUITY PRESS LTD
DOI: 10.5334/ijic.6739
Keywords
integrated care; measurement tool; elderly care; primary care; care networks; interprofessional collaboration
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This study aimed to assess the construct validity of the Rainbow Model of Integrated Care measurement tool (RMIC-MT) among healthcare professionals in an integrated primary elderly care setting in the Netherlands. The results showed that the RMIC-MT has the potential to be used for evaluating the implementation of integrated care initiatives in a primary care setting.
Introduction: Care integration in primary elderly care is suboptimal. Validated instruments are needed to enable the implementation of integrated primary care. We aimed to assess construct validity of the Rainbow Model of Integrated Care measurement tool (RMIC-MT) for healthcare professionals working in an integrated primary elderly care setting in the Netherlands. Methods: In a cross-sectional study, the RMIC-MT, a 36-item questionnaire covering all domains of the Rainbow Model of Integrated Care (RMIC), was sent out to local networks of primary elderly care professionals. Confirmatory factor analysis with maximum likelihood estimation was used for the validation of the factor structure of the RMIC-MT. Model fit was assessed by the chi-square test and fit indices. Results: The RMIC-MT was completed by 323 professionals, primarily general practitioners, community nurses, practice nurses, and case managers. Confirmatory factor analysis and corresponding fit indices showed moderate to good fit, thereby confirming a nine factor model with a total of 36 items. Conclusions: The RMIC-MT is promising for the primary elderly care setting in the Netherlands. It can be used for evaluating integrated care initiatives in a primary care setting, thereby contributing to implementation of integrated primary elderly care.
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