BackgroundPatient safety can be increased by improving the organization of care. A tool that evaluates the actual organization of care, as perceived by multidisciplinary teams, is the Care Process Self-Evaluation Tool (CPSET). CPSET was developed in 2007 and includes 29 items in five subscales: (a) patient-focused organization, (b) coordination of the care process, (c) collaboration with primary care, (d) communication with patients and family, and (e) follow-up of the care process. The goal of the present study was to further evaluate the psychometric properties of the CPSET at the team and hospital levels and to compile a cutoff score table.MethodsThe psychometric properties of the CPSET were assessed in a multicenter study in Belgium and the Netherlands. In total, 3139 team members from 114 hospitals participated. Psychometric properties were evaluated by using confirmatory factor analysis (CFA), Cronbach’s alpha, interclass correlation coefficients (ICCs), Kruskall-Wallis test, and Mann–Whitney test. For the cutoff score table, percentiles were used. Demographic variables were also evaluated.ResultsCFA showed a good model fit: a normed fit index of 0.93, a comparative fit index of 0.94, an adjusted goodness-of-fit index of 0.87, and a root mean square error of approximation of 0.06. Cronbach’s alpha values were between 0.869 and 0.950. The team-level ICCs varied between 0.127 and 0.232 and were higher than those at the hospital level (0.071-0.151). Male team members scored significantly higher than females on 2 of the 5 subscales and on the overall CPSET. There were also significant differences among age groups. Medical doctors scored significantly higher on 4 of the 5 subscales and on the overall CPSET. Coordinators of care processes scored significantly lower on 2 of the 5 subscales and on the overall CPSET. Cutoff scores for all subscales and the overall CPSET were calculated.ConclusionsThe CPSET is a valid and reliable instrument for health care teams to measure the extent care processes are organized. The cutoff table permits teams to compare how they perceive the organization of their care process relative to other teams.

Aims: To get a deeper knowledge about the most relevant aspects of gender violence, analysing the current situation and legislation, focusing on the consequences experienced by women affected, the main implications at social and health level and the existing difficulties to approach it. Method: A literature search and review of the most relevant has been performed, including the main documents related to violence against women in Spain over the last ten years, emphasising national and regional strategies for health care. Results: In recent years, domestic violence has become a growing public health problem that affects millions of women worldwide although a gradual decrease it is expected. Women profile is associated with a low social and economic status and low educational level. The consequences of domestic violence on women health include physical and psychological problems and a higher use of health services, with some non-specific symptoms as the main demand. Within the main difficulties found, it can be highlighted the number of under-diagnosis and the lack of coordination between the core services. Conclusions: Healthcare professionals play a critical role in the prevention, detection and treatment, requiring specific training in this field and the development of mechanisms and protocols for coordination between health and social services that ensure a comprehensive and integrated care to affected women.

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