Busquet-Duran, X.; Jiménez-Zafra, E.M.; Tura-Poma, M.; Bosch-de la Rosa, O.; Moragas-Roca, A.; Martin-Moreno, S.; Martínez-Losada, E.; Crespo-Ramírez, S.; Lestón-Lado, L.; Salamero-Tura, N.; Llobera-Estrany, J.; Oriol-Peregrina, N.; Moreno-Gabriel, E.; Manresa-Domínguez, J.M.; Torán-Monserrat, P. Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study. Healthcare2021, 9, 165.
Busquet-Duran, X.; Jiménez-Zafra, E.M.; Tura-Poma, M.; Bosch-de la Rosa, O.; Moragas-Roca, A.; Martin-Moreno, S.; Martínez-Losada, E.; Crespo-Ramírez, S.; Lestón-Lado, L.; Salamero-Tura, N.; Llobera-Estrany, J.; Oriol-Peregrina, N.; Moreno-Gabriel, E.; Manresa-Domínguez, J.M.; Torán-Monserrat, P. Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study. Healthcare 2021, 9, 165.
Busquet-Duran, X.; Jiménez-Zafra, E.M.; Tura-Poma, M.; Bosch-de la Rosa, O.; Moragas-Roca, A.; Martin-Moreno, S.; Martínez-Losada, E.; Crespo-Ramírez, S.; Lestón-Lado, L.; Salamero-Tura, N.; Llobera-Estrany, J.; Oriol-Peregrina, N.; Moreno-Gabriel, E.; Manresa-Domínguez, J.M.; Torán-Monserrat, P. Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study. Healthcare2021, 9, 165.
Busquet-Duran, X.; Jiménez-Zafra, E.M.; Tura-Poma, M.; Bosch-de la Rosa, O.; Moragas-Roca, A.; Martin-Moreno, S.; Martínez-Losada, E.; Crespo-Ramírez, S.; Lestón-Lado, L.; Salamero-Tura, N.; Llobera-Estrany, J.; Oriol-Peregrina, N.; Moreno-Gabriel, E.; Manresa-Domínguez, J.M.; Torán-Monserrat, P. Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study. Healthcare 2021, 9, 165.
Abstract
Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centered care at a practical level, a methodological study was carried out to assess the face validity of the model. Particularly, a Delphi method involving a group of 15 experts representing the full spectrum of healthcare professionals involved in palliative care was carried out. The results show that there is a high level of agreement, with a Content Validity Index-Item greater than 0.92 both with regard to the complexity model and the HexCom-Red, HexCom-Basic and HexCom-Clin instruments, and higher than 0.85 regarding the HexCom-Figure and the HexCom-Patient instruments. This consensus confirms that the HexCom model and the different instruments that are derived from it are valued as useful tools for a broad range of healthcare professional in coordinately capturing of complexity in healthcare practice.
Keywords
Palliative care; Delphi technique; Needs Assessment; Home Care Services; coordinated care; complexity; methodological study.
Subject
Medicine and Pharmacology, Immunology and Allergy
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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