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BMC Health Services Research
Published in: BMC Health Services Research 1/2011

Open Access 01-12-2011 | Research article

Reliability of INTERMED Spanish version and applicability in liver transplant patients: a cross-sectional study

Authors: Elena Lobo, MªJosé Rabanaque, MªLuisa Bellido, Antonio Lobo

Published in: BMC Health Services Research | Issue 1/2011

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Abstract

Background

Integrated delivery methods in healthcare systems have been proposed to confront the increasing complexity in general health care. INTERMED is an empirically derived, observer-rated instrument to measure case complexity. It was intended as a visualized, action-oriented decision-support tool for the early assessment of bio-psychosocial health risks and health needs. This study aims to document the reliability and applicability of the Spanish version of INTERMED in liver transplant patients.

Methods

Cross-sectional study of patients who had been included in the liver transplant waiting list. Two nurses interviewed the patients with INTERMED, and scored the instrument blind to each other. Kappa and w-kappa, Spearman, Kendall and intraclass correlation coefficients, and Cronbach's alfa were calculated.

Results

No patient refused the interview. Satisfactory coefficients were documented in most INTERMED items. Kappa was = 0.858 for the categorization of patients as "complex", and 21 of them (48.8%) were classified in this category, and were considered to need integrated treatment.

Conclusions

The Spanish version of INTERMED is reliable. Its applicability in liver transplant patients adds to its generalizability.
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Metadata
Title
Reliability of INTERMED Spanish version and applicability in liver transplant patients: a cross-sectional study
Authors
Elena Lobo
MªJosé Rabanaque
MªLuisa Bellido
Antonio Lobo
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2011
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-11-160

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