BACKGROUND: The objective of this study was to evaluate the metric properties of a selection of items of the Primary Care Assessment Tool (PCAT) included into 2006 Catalonia Health Survey and adapted to evaluate experiences of primary care (PC) under population perspective. METHODS: This was a cross-sectional study. The study population was composed of non-institutionalized residents of Catalonia over 15 years of age (n = 12,933). The instrument used was a 10-item selection of the adult user's version of the PCAT (PCAT10-AE). We assessed internal consistency, correlation between items and performed exploratory factor analysis and external validity analysis. RESULTS: The instrument presented adequate internal consistency (0.72). All items showed acceptable correlation with other items that constitute the scale. The single extracted factor explained 64% of the common variance in the responses, allowing the construction of a global index for evaluation of PC. We observed an association between better evaluation of PC and more satisfaction with the health system. CONCLUSIONS: Metric analysis supported the integrity and general adequacy of this very short tool included in a population health survey. The global index proposed could be a good measure for assessing and monitoring the adequacy of part of the PC experiences in first-contact care and person-focused care over time, under population perspective. On the other hand, the loss of content as a consequence of the selection of items, suggesting use of the expanded versions of the PCAT-AE whenever a global evaluation of PC is desired and it is possible.
BACKGROUND: The objective of this study was to evaluate the metric properties of a selection of items of the Primary Care Assessment Tool (PCAT) included into 2006 Catalonia Health Survey and adapted to evaluate experiences of primary care (PC) under population perspective. METHODS: This was a cross-sectional study. The study population was composed of non-institutionalized residents of Catalonia over 15 years of age (n = 12,933). The instrument used was a 10-item selection of the adult user's version of the PCAT (PCAT10-AE). We assessed internal consistency, correlation between items and performed exploratory factor analysis and external validity analysis. RESULTS: The instrument presented adequate internal consistency (0.72). All items showed acceptable correlation with other items that constitute the scale. The single extracted factor explained 64% of the common variance in the responses, allowing the construction of a global index for evaluation of PC. We observed an association between better evaluation of PC and more satisfaction with the health system. CONCLUSIONS: Metric analysis supported the integrity and general adequacy of this very short tool included in a population health survey. The global index proposed could be a good measure for assessing and monitoring the adequacy of part of the PC experiences in first-contact care and person-focused care over time, under population perspective. On the other hand, the loss of content as a consequence of the selection of items, suggesting use of the expanded versions of the PCAT-AE whenever a global evaluation of PC is desired and it is possible.
Authors: Harry H X Wang; Samuel Y S Wong; Martin C S Wong; Xiao Lin Wei; Jia Ji Wang; Donald K T Li; Jin Ling Tang; Gemma Y Gao; Sian M Griffiths Journal: Ann Fam Med Date: 2013 Nov-Dec Impact factor: 5.166
Authors: Jingyi Liao; Mengping Zhou; Chenwen Zhong; Cuiying Liang; Nan Hu; Li Kuang Journal: Int J Environ Res Public Health Date: 2021-12-24 Impact factor: 3.390
Authors: Onikepe Owolabi; Zhenzhen Zhang; Xiaolin Wei; Nan Yang; Haitao Li; Samuel Y S Wong; Martin C S Wong; Winnie Yip; Sian M Griffiths Journal: BMC Health Serv Res Date: 2013-11-25 Impact factor: 2.655
Authors: Nguyen Thi Hoa; Anselme Derese; Jeffrey F Markuns; Nguyen Minha Tam; Wim Peersman Journal: Prim Health Care Res Dev Date: 2019-07-01 Impact factor: 1.458