Table 1
Domains of initial framework, first set of proposed questions and the final ICRP survey questions per domain.
| DOMAINS | QUESTIONS | ||
|---|---|---|---|
| CONCEPTUAL FRAMEWORK | FINAL FRAMEWORK | FIRST SET OF PROPOSED QUESTIONS | ICRP SURVEY QUESTIONSα |
| Patient wishes regarding communication between health care providers | Patient wishes, expectations, awareness and concerns/limitations regarding communication between health care providers |
|
|
| Perception of providers’ intersectoral knowledge | Patient perception of health care provider’s knowledge |
|
|
| Communication from health care provider to patient about health status | Health care provider-patient communication about health status |
|
|
| Health care utilization for both sectors | Utilization of health care |
|
|
| Self-rated health | Self-rated health |
|
|
[i] αFor the answering options of this version see Appendix III.
βTypes of health information: Recent diagnosis; Results of medical tests; Medication; Infectious diseases; Medical history; Social history; Emotional state, for example sadness; Mental health; Other, namely…; I do not want my health care providers to communicate; I do not know.
γThe following aspects: Your medical history; Your social history; Visit to the general practice; Visit to the hospital; Reasons for visiting a health care provider; Any medical test results; Changes in your medication; Changes in your general health; other, namely …; None; I do not know or do not remember.
δThe following aspects: Your dental history; Visits to the dentist or dental clinic; Reasons for visiting a dental health care provider; Dental screening/exam; Dental treatment; Problems with your mouth, teeth, gums or jaw; Other, namely…; None; I do not know or do not remember.
Table 2
Results of the two rounds with patient panel and adjustments made to the questions.
| ORIGINAL ICRP SURVEY ITEMS | ROUND 1§ | ROUND 2§ | CHANGES (AS SUGGESTED BY PATIENT PANEL) | FINAL ICRP SURVEY QUESTIONα |
|---|---|---|---|---|
| Introduction | 8.5 | 9 | - Addition of definition of integration of health care - Addition of definition of health care providers - Addition of definition of social history | – |
| 1. Awareness of relations between oral and general health | 8.5 | 9 | - Addition of example | How aware are you of possible relationships between your oral and general health? (e.g. the influence of diabetes on gum health) |
| 2. Frequency of coordinated care | 8 | 9 | - Yes/no-question instead of multiple-choice question - Addition of example | Do you want your health care providers to coordinate your care based on both your general oral health? (e.g. exchange all information they deem necessary) |
| 3. Type of health information communicated | 9 | 9 | No changes | Which type of health information do you want your health care providers to communicate about?β |
| 4. Knowledge dental health care provider about general health care | 9 | 9 | - Change general health care into general health - Addition of example | In your view, how much knowledge should your dentist or oral health care provider have about general health? (e.g. be aware of symptoms and diseases in the whole body, not the mouth) |
| 5. Last visit dental health care provider | 9 | 9 | No changes | When did you last visit a dentist or oral health care provider? |
| 6. Awareness dental health care provider of medical history | 9 | 9 | - Addition of example - Addition of ‘I do not know’ in answer options | My dentist or oral health care provider is aware of my medical history. (e.g. he/she knows which disease(s) I have and takes these into account) |
| 7. Information requested by dental health care provider | 9 | 9 | - Answer option added | During your most recent dental visit, did your dentist or oral health care provider ask about one of the following aspects?γ |
| 8. Self-perceived general health | 9 | 9 | No changes | How would you rate your general health? |
| 9. Knowledge general practitioner about oral health | 9 | 9 | - Change oral health care into oral health - Addition of example | In your view, how much knowledge should your general practitioner have about oral health? (e.g. be aware of symptoms and diseases in the mouth) |
| 10. Last visit general practitioner | 9 | 9 | No changes | When did you last visit your general practitioner or primary health care provider? |
| 11. Awareness general practitioner of dental history | 9 | 9 | - Addition of example - Addition of ‘I do not know’ in answer options | My general practitioner or primary health care provider is aware of my dental history. (e.g. he/she knows problems I have in my mouth and takes these into account) |
| 12. Information requested by general practitioner | 9 | 9 | No changes | During your most recent medical visit, did your general practitioner or primary health care provider ask about one of the following aspects?δ |
| 13. Self-perceived oral health | 9 | 9 | No changes | How would you rate your oral health? |
[i] αFor the answering options of this version see Appendix III.
βTypes of health information: Recent diagnosis; Results of medical tests; Medication; Infectious diseases; Medical history; Social history; Emotional state, for example sadness; Mental health; Other, namely…; I do not want my health care providers to communicate; I do not know.
γThe following aspects: Your medical history; Your social history; Visit to the general practice; Visit to the hospital; Reasons for visiting a health care provider; Any medical test results; Changes in your medication; Changes in your general health; other, namely …; None; I do not know or do not remember.
δThe following aspects: Your dental history; Visits to the dentist or dental clinic; Reasons for visiting a dental health care provider; Dental screening/exam; Dental treatment; Problems with your mouth, teeth, gums or jaw; Other, namely…; None; I do not know or do not remember.
§In Round 1, the rating was on necessity using the question “Do you think the question … is necessary in the ICRP survey?” and scored on a 9-point Likert scale, where 1 reflects ‘completely unnecessary’ and 9 ‘absolutely necessary’. In Round 2, the rating was on understandability using the question “Is it completely clear for you what is meant by this question?” and scored on a 9-point Likert scale (where 1 represents ‘completely unclear’ and 9 represents ‘absolutely clear’).
Table 3
Results of the ICRP survey in the pilot study (n = 199).
| VARIABLES | N (%) |
|---|---|
| Age | |
| 62 (31.2) |
| 21 (10.6) |
| 18 (9.1) |
| 31 (15.6) |
| 39 (19.6) |
| 23 (11.6) |
| 5 (2.5) |
| Gender | |
| 127 (63.8) |
| 61 (30.7) |
| 5 (2.5) |
| 6 (3.0) |
| Income | |
| 70 (35.2) |
| 51 (25.6) |
| 27 (13.6) |
| 11 (5.5) |
| 32 (16.1) |
| 8 (4.0) |
| Highest completed degree of education | |
| 3 (1.5) |
| 22 (11.1) |
| 46 (23.1) |
| 120 (60.3) |
| 8 (4.0) |
| ICRP survey | |
| 1. How aware are you of possible relationships between your oral and general health? (e.g. the influence of diabetes on gum health) | |
| 14 (7.0) |
| 44 (22.1) |
| 38 (19.1) |
| 55 (27.6) |
| 48 (24.1) |
| 0 (0.0) |
| 2. Do you want your health care providers to coordinate your care based on both your general and oral health? (e.g. exchange all information they deem necessary) | |
| 161 (80.9) |
| 20 (10.1) |
| 17 (8.5) |
| 1 (0.5) |
| 3. Which type of health information do you want your health care providers to communicate about? | |
| 130 (65.3) |
| 100 (50.3) |
| 146 (73.4) |
| 112 (56.3) |
| 109 (54.8) |
| 27 (13.6) |
| 25 (12.6) |
| 37 (18.6) |
| 8 (4.0) |
| 13 (6.5) |
| 7 (3.5) |
| 0 (0.0) |
| 4. In your view, how much knowledge should your dentist or oral health care provider have about general health? (e.g. be aware of symptoms and disease in the whole body, not the mouth only) | |
| 1 (0.5) |
| 42 (21.1) |
| 63 (31.7) |
| 67 (33.7) |
| 23 (11.6) |
| 3 (1.5) |
| 5. When did you last visit a dentist or oral health care provider? | |
| 139 (69.9) |
| 43 (21.6) |
| 10 (5.0) |
| 5 (2.5) |
| 2 (1.0) |
| 0 (0.0) |
| 6. My dentist or oral health care provider is aware of my medical history. (e.g. he/she knows which disease(s) I have and takes these into account) | |
| 20 (10.1) |
| 39 (19.6) |
| 63 (31.7) |
| 55 (27.6) |
| 21 (10.6) |
| 1 (0.5) |
| 7. During your most recent dental visit, did your dentist or oral health care provider ask about one of the following aspects? | |
| 36 (18.1) |
| 8 (4.0) |
| 12 (6.0) |
| 13 (6.5) |
| 10 (5.0) |
| 8 (4.0) |
| 36 (18.1) |
| 69 (34.7) |
| 4 (2.0) |
| 89 (44.7) |
| 11 (5.5) |
| 3 (1.5) |
| 8. How would you rate your general health? | |
| 4 (2.0) |
| 31 (15.6) |
| 89 (44.7) |
| 49 (24.6) |
| 21 (10.6) |
| 5 (2.5) |
| 9. In your view, how much knowledge should your general practitioner have about oral health? (e.g. be aware of symptoms and diseases in the mouth) | |
| 3 (1.5) |
| 35 (17.6) |
| 62 (31.2) |
| 66 (33.2) |
| 28 (14.1) |
| 5 (2.5) |
| 10. When did you last visit your general practitioner or primary health care provider? | |
| 114 (57.3) |
| 45 (22.6) |
| 18 (9.1) |
| 16 (8.0) |
| 3 (1.5) |
| 3 (1.5) |
| 11. My general practitioner or primary health care provider is aware of my dental history. (e.g. he/she knows problems I have in my mouth and takes these into account) | |
| 47 (23.6) |
| 49 (24.6) |
| 63 (31.7) |
| 29 (14.6) |
| 7 (3.5) |
| 4 (2.0) |
| 12. During your most recent medical visit, did your general practitioner or primary health care provider ask about one of the following aspects? (See appendix III for the aspects) | |
| 4 (2.0) |
| 3 (1.5) |
| 4 (2.0) |
| 4 (2.0) |
| 4 (2.0) |
| 9 (4.5) |
| 4 (2.0) |
| 167 (83.9) |
| 12 (6.0) |
| 3 (1.5) |
| 13. How would you rate your oral health? | |
| 3 (1.5) |
| 45 (22.6) |
| 87 (43.7) |
| 36 (18.1) |
| 25 (12.6) |
| 3 (1.5) |