The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China
Junlong Li,1,* Kui Shen,1,* Jun Hu,2 Xinyue Li,3 Jie Liu,1 Yonghong Du,1 Kang Huang4 1Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, People’s Republic of China; 2Health Information Center of Zigong, Sichuan, People’s Republic of China; 3Finance Departme...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2021-01-01
|
| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-cliniciansrsquo-satisfaction-with-clinical-pathway-implementation--peer-reviewed-article-RMHP |
| _version_ | 1819296022066626560 |
|---|---|
| author | Li J Shen K Hu J Li X Liu J Du Y Huang K |
| author_facet | Li J Shen K Hu J Li X Liu J Du Y Huang K |
| author_sort | Li J |
| collection | DOAJ |
| description | Junlong Li,1,* Kui Shen,1,* Jun Hu,2 Xinyue Li,3 Jie Liu,1 Yonghong Du,1 Kang Huang4 1Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, People’s Republic of China; 2Health Information Center of Zigong, Sichuan, People’s Republic of China; 3Finance Department, Zigong Fourth People’s Hospital, Zigong, Sichuan, People’s Republic of China; 4Health Commission of Zigong, Zigong, Sichuan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Kang HuangHealth Commission of Zigong, Hua Yuan Street 66, Zigong 643000, People’s Republic of ChinaTel +86 13990043323Email seven-lee@foxmail.comPurpose: To develop a satisfaction scale of Chinese clinicians with Clinical Pathway (CP) implementation and evaluate its validity, reliability and item discrimination.Materials and Methods: Literature review, in-person interviews, and Delphi were used to design the scale. Data were collected in two phases using random sampling on the spot and an online survey. In the first phase, data from 239 clinicians were investigated in exploratory factor analysis. In the second phase, 513 valid questionnaires were collected and used for confirmatory factor analysis.Results: The scale developed in this study has three dimensions (organization support, process identity, and effect perception) and a total of 21 items. Cronbach’s alpha of each dimension was higher than 0.9. The 3-factor model had enough fitness (χ 2/df = 5.602, NFI = 0.926, IFI = 0.938, CFI = 0.938, RFI = 0.914, TLI = 0.929, RMSEA = 0.095, RMR = 0.045). The standardized factor loadings of 21 variables were between 0.742 and 0.949. The average variance extracted (AVE) of each dimension was higher than 0.7, and the construct reliability (CR) of the dimensions was higher than 0.9. The Chi-square difference test results showed that the difference value between the unlimited and limited model of each two potential constructs was higher than 3.84 (P < 0.001).Conclusion: The clinicians’ satisfaction scale developed in this study has good construct validity, convergent validity, discriminant validity, internal consistency, and item discrimination. This suggests its usefulness as a tool to assess the satisfaction of clinicians in the implementation of CP in China.Keywords: clinicians, clinical pathway, satisfaction, scale development |
| first_indexed | 2024-12-24T04:51:30Z |
| format | Article |
| id | doaj.art-563a0698a50448e38349a3427dc1c282 |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-12-24T04:51:30Z |
| publishDate | 2021-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-563a0698a50448e38349a3427dc1c2822022-12-21T17:14:32ZengDove Medical PressRisk Management and Healthcare Policy1179-15942021-01-01Volume 1430331361509The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in ChinaLi JShen KHu JLi XLiu JDu YHuang KJunlong Li,1,* Kui Shen,1,* Jun Hu,2 Xinyue Li,3 Jie Liu,1 Yonghong Du,1 Kang Huang4 1Sichuan Vocational College of Health and Rehabilitation, Zigong, Sichuan, People’s Republic of China; 2Health Information Center of Zigong, Sichuan, People’s Republic of China; 3Finance Department, Zigong Fourth People’s Hospital, Zigong, Sichuan, People’s Republic of China; 4Health Commission of Zigong, Zigong, Sichuan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Kang HuangHealth Commission of Zigong, Hua Yuan Street 66, Zigong 643000, People’s Republic of ChinaTel +86 13990043323Email seven-lee@foxmail.comPurpose: To develop a satisfaction scale of Chinese clinicians with Clinical Pathway (CP) implementation and evaluate its validity, reliability and item discrimination.Materials and Methods: Literature review, in-person interviews, and Delphi were used to design the scale. Data were collected in two phases using random sampling on the spot and an online survey. In the first phase, data from 239 clinicians were investigated in exploratory factor analysis. In the second phase, 513 valid questionnaires were collected and used for confirmatory factor analysis.Results: The scale developed in this study has three dimensions (organization support, process identity, and effect perception) and a total of 21 items. Cronbach’s alpha of each dimension was higher than 0.9. The 3-factor model had enough fitness (χ 2/df = 5.602, NFI = 0.926, IFI = 0.938, CFI = 0.938, RFI = 0.914, TLI = 0.929, RMSEA = 0.095, RMR = 0.045). The standardized factor loadings of 21 variables were between 0.742 and 0.949. The average variance extracted (AVE) of each dimension was higher than 0.7, and the construct reliability (CR) of the dimensions was higher than 0.9. The Chi-square difference test results showed that the difference value between the unlimited and limited model of each two potential constructs was higher than 3.84 (P < 0.001).Conclusion: The clinicians’ satisfaction scale developed in this study has good construct validity, convergent validity, discriminant validity, internal consistency, and item discrimination. This suggests its usefulness as a tool to assess the satisfaction of clinicians in the implementation of CP in China.Keywords: clinicians, clinical pathway, satisfaction, scale developmenthttps://www.dovepress.com/the-cliniciansrsquo-satisfaction-with-clinical-pathway-implementation--peer-reviewed-article-RMHPcliniciansclinical pathwaysatisfactionscale development |
| spellingShingle | Li J Shen K Hu J Li X Liu J Du Y Huang K The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China Risk Management and Healthcare Policy clinicians clinical pathway satisfaction scale development |
| title | The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China |
| title_full | The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China |
| title_fullStr | The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China |
| title_full_unstemmed | The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China |
| title_short | The Clinicians’ Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China |
| title_sort | clinicians rsquo satisfaction with clinical pathway implementation preliminary development of an assessment scale in china |
| topic | clinicians clinical pathway satisfaction scale development |
| url | https://www.dovepress.com/the-cliniciansrsquo-satisfaction-with-clinical-pathway-implementation--peer-reviewed-article-RMHP |
| work_keys_str_mv | AT lij thecliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT shenk thecliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT huj thecliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT lix thecliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT liuj thecliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT duy thecliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT huangk thecliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT lij cliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT shenk cliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT huj cliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT lix cliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT liuj cliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT duy cliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina AT huangk cliniciansrsquosatisfactionwithclinicalpathwayimplementationpreliminarydevelopmentofanassessmentscaleinchina |