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Validating the Rainbow Model of Integrated Care Measurement Tool: results from three pilot studies in The Netherlands, Singapore and Australia

Authors:

Pim Peter Valentijn ,

Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University; and Department Integrated Care University, Essenburgh, Hierden; Department Integrated Care University, Essenburgh, Hierden;, NL
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Lisa Angus,

Centre for Health Economics Research & Evaluation, University of Technology Sydney, AU
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Inge Boesveld,

Jan van Es Institute, Netherlands Expert Centre Integrated Primary Care, Almere, NL
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Milawaty Nurjono,

Centre for Health Services and Policy Research, Saw Swee Hock School of Public Health, National University of Singapore, SG
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Dirk Ruwaard,

Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University; and Department Integrated Care University, Essenburgh, Hierden, NL
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Hubertus Vrijhoef

Centre for Health Services and Policy Research, Saw Swee Hock School of Public Health, National University of Singapore; Department of Family Medicine, Vrije Universiteit Brussels; Department of Patient & Care, Maastricht University Medical Centre, Maastricht;, NL
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Abstract

Background: Integrated care is an important strategy for improving the process and outcome of healthcare delivery for patients with complex needs. Until now, there has been no universally accepted and validated measurement tool for integrated care. This study aimed to validate The Rainbow Model of Integrated Care Measurement Tool (RMIC-MT) which assesses, using a self-administered questionnaire, micro level (clinical), meso level (professional and organisational), macro level (system) and enabling (functional and normative) aspects of integrated care.

Methods: Potentially relevant items were developed on the basis of a literature review and qualitative synthesis process. Three modified Delphi studies were used to asses the content validity of the items. Primary survey data were collected from healthcare providers and managers participating in integrated care projects from The Netherlands, Singapore and Australia. The RMIC-MT was validated for face validity, internal consistency, construct validity and reliability.

Results and conclusions: The RMIC-MT is one of the first attempts to systematically measure different aspects of integrated care across the care continuum. Preliminary results suggest that the RMIC-MT is both a reliable and valid tool for assessing integrated care in different integrated care settings. The results of the construct and reliability analysis across countries will be presented, interpreted and discussed.

How to Cite: Valentijn PP, Angus L, Boesveld I, Nurjono M, Ruwaard D, Vrijhoef H. Validating the Rainbow Model of Integrated Care Measurement Tool: results from three pilot studies in The Netherlands, Singapore and Australia. International Journal of Integrated Care. 2017;17(3):A91. DOI: http://doi.org/10.5334/ijic.3203
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Published on 11 Jul 2017.

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