The purpose of this paper is to describe the development and to test the reliability of a new method called INTERMED, for health service needs assessment.
The INTERMED integrates the biopsychosocial aspects of disease and the relationship between patient and health care system in a comprehensive scheme and reflects an operationalized conceptual approach to case mix or case complexity.
The method is developed to enhance interdisciplinary communication between (para-) medical specialists and to provide a method to describe case complexity for clinical, scientific, and educational purposes.
First, a feasibility study (N=21 patients) was conducted which included double scoring and discussion of the results.
This led to a version of the instrument on which two interrater reliability studies were performed.
In study 1, the INTERMED was double scored for 14 patients admitted to an internal ward by a psychiatrist and an internist on the basis of a joint interview conducted by both.
In study 2, on the basis of medical charts, two clinicians separately double scored the INTERMED in 16 patients referred to the outpatient psychiatric consultation service.
Averaged over both studies, in 94.2% of all ratings there was no important difference between the raters (more than 1 point difference).
As a research interview, it takes about 20 minutes ; as part of the whole process of history taking it takes about 15 minutes.
In both studies, improvements were suggested by the results. (...)
Mots-clés Pascal : Psychométrie, Méthode mesure, Besoin utilisateur, Service santé, Santé mentale, Fidélité test, Homme
Mots-clés Pascal anglais : Psychometrics, Measurement method, User need, Health service, Mental health, Test reliability, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0221513
Code Inist : 002B18B01. Création : 16/11/1999.