RT Journal Article
T1 The Care Process Self-Evaluation Tool: a valid and reliable instrument for measuring care process organization of health care teams
A1 Seys, Deborah
A1 Deneckere, Svin
A1 Sermeus, Walter
A1 Camacho Bejarano, Rafaela
AB Background: Patient safety can be increased by improving the organization of care. A tool that evaluates theactual organization of care, as perceived by multidisciplinary teams, is the Care Process Self-Evaluation Tool(CPSET). CPSET was developed in 2007 and includes 29 items in five subscales: (a) patient-focused organization,(b) coordination of the care process, (c) collaboration with primary care, (d) communication with patientsand family, and (e) follow-up of the care process. The goal of the present study was to further evaluate thepsychometric properties of the CPSET at the team and hospital levels and to compile a cutoff score table.Methods: The psychometric properties of the CPSET were assessed in a multicenter study in Belgium andthe Netherlands. In total, 3139 team members from 114 hospitals participated. Psychometric properties wereevaluated by using confirmatory factor analysis (CFA), Cronbach’s alpha, interclass correlation coefficients (ICCs),Kruskall-Wallis test, and Mann–Whitney test. For the cutoff score table, percentiles were used. Demographicvariables were also evaluated.Results: CFA showed a good model fit: a normed fit index of 0.93, a comparative fit index of 0.94, an adjustedgoodness-of-fit index of 0.87, and a root mean square error of approximation of 0.06. Cronbach’s alpha valueswere between 0.869 and 0.950. The team-level ICCs varied between 0.127 and 0.232 and were higher than thoseat the hospital level (0.071-0.151). Male team members scored significantly higher than females on 2 of the 5subscales and on the overall CPSET. There were also significant differences among age groups. Medical doctorsscored significantly higher on 4 of the 5 subscales and on the overall CPSET. Coordinators of care processesscored significantly lower on 2 of the 5 subscales and on the overall CPSET. Cutoff scores for all subscales andthe overall CPSET were calculated.Conclusions: The CPSET is a valid and reliable instrument for health care teams to measure the extent careprocesses are organized. The cutoff table permits teams to compare how they perceive the organization of theircare process relative to other teams.
PB BMC
SN 1472-6963
YR 2013
FD 2013-08
LK http://hdl.handle.net/10272/18412
UL http://hdl.handle.net/10272/18412
LA eng
DS Repositorio Institucional de la Universidad de Huelva
RD 31 may 2026