Abstract
Further evaluation of the Patient Assessment of Transitions in Healthcare settings (PATH) questionnaire measurement properties is needed to ensure high-quality measurement of patients' experiences of healthcare provision which includes transitions across settings. The aim of this study was to determine structural validity and reliability for measurement of patient-experienced quality in healthcare transitions across hospital, GP, municipal rehabilitation, and/or home care settings for the PATH questionnaire through Rasch analysis. This study supports that PATH is a structurally valid measure for use in hospital, GP, and municipal home care. However, use of PATH for evaluation of municipal rehabilitation is not currently recommended. We find that PATH discriminates adequately between poor, moderate, and good patient-experienced quality of healthcare transitions without systematic differential item functioning. In conclusion, PATH enables valid and reliable planning and evaluation of initiatives to improve pathways which include transitions across healthcare settings.
| Original language | English |
|---|---|
| Pages (from-to) | 50-65 |
| Number of pages | 16 |
| Journal | Measurement: Interdisciplinary Research and Perspectives |
| Volume | 24 |
| Issue number | 1 |
| Early online date | 29 Oct 2024 |
| DOIs | |
| Publication status | Published - Jan 2026 |
Funding
This work was supported by the local research fund at Naestved, Slagelse, and Ringsted hospitals under Grant number A436; by a program grant for Exercise First from Region Zealand; and a faculty scholarship from the Faculty of Health Sciences at University of Southern Denmark.
| Funders | Funder number |
|---|---|
| Naestved-Slagelse-Ringsted Hospitals research fund, Denmark | A436 |
| University of Southern Denmark |
Keywords
- Healthcare transitions
- Patient-reported experience measure
- Quality
- Rasch analysis
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