Lilisbeth Perestelo-Pérez1,2,3, Amado Rivero-Santana2,3,4, Ana Isabel González-González2,5,6, Carlos Jesús Bermejo-Caja7,8, Vanesa Ramos-García2,4, Débora Koatz2,9, Alezandra Torres-Castaño2,4, Marta Ballester2,9, Marcos Muñoz-Balsa8, Yolanda Del Rey-Granado8, Francisco Javier Pérez-Rivas10, Yolanda Canellas-Criado11, Ana Belén Ramírez-Puerta8, Valeria Pacheco-Huergo12, Carola Orrego2,9. 1. Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain. 2. Health Services Research on Chronic Patients Network (REDISSEC), Tenerife, Spain. 3. Centre for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain. 4. Canary Islands Foundation and Institute for Health Research (FIISC), Tenerife, Spain. 5. Primary Care Centre Vicente Muzas, Community of Madrid Health Service, Madrid, Spain. 6. Institute of General Medicine, Johann Wolfgang Goethe University, Frankfurt-am-Main, Germany. 7. Support Unit for Primary Care, Community of Madrid Health Service, Madrid, Spain. 8. Nursing Department, Autonomus University of Madrid, Madrid, Spain. 9. Avedis Donabedian Institute, Autonomous University of Barcelona, Barcelona, Spain. 10. Nursing Department, Complutense University of Madrid, Madrid, Spain. 11. Primary Care Centre Monóvar, Community of Madrid Health Service, Madrid, Spain. 12. EAP Turó, Barcelona, Spain.
Abstract
BACKGROUND: In recent decades, many self-report instruments have been developed to assess the extent to which patients want to be informed and involved in decisions about their health as part of the concept of person-centred care (PCC). The main objective of this research was to translate, adapt and validate the Patient-Practitioner Orientation Scale (PPOS) using a sample of primary care health-care professionals in Spain. METHODS: Baseline analysis of PPOS scores for 321 primary care professionals (general practitioners and nurses) from 63 centres and 3 Spanish regions participating in a randomized controlled trial. We analysed missing values, distributions and descriptive statistics, item-to-scale correlations and internal consistency. Performed were confirmatory factor analysis (CFA) of the 2-factor model (sharing and caring dimensions), scale depuration and principal component analysis (PCA). RESULTS: Low inter-item correlations were observed, and the CFA 2-factor model only obtained a good fit to the data after excluding 8 items. Internal consistency of the 10-item PPOS was acceptable (0.77), but low for individual subscales (0.70 and 0.55). PCA results suggest a possible 3-factor structure. Participants showed a patient-oriented style (mean = 4.46, SD = 0.73), with higher scores for caring than sharing. CONCLUSION: Although the 2-factor model obtained empirical support, measurement indicators of the PPOS (caring dimension) could be improved. Spanish primary care health-care professionals overall show a patient-oriented attitude, although less marked in issues such as patients' need for and management of medical information.
BACKGROUND: In recent decades, many self-report instruments have been developed to assess the extent to which patients want to be informed and involved in decisions about their health as part of the concept of person-centred care (PCC). The main objective of this research was to translate, adapt and validate the Patient-Practitioner Orientation Scale (PPOS) using a sample of primary care health-care professionals in Spain. METHODS: Baseline analysis of PPOS scores for 321 primary care professionals (general practitioners and nurses) from 63 centres and 3 Spanish regions participating in a randomized controlled trial. We analysed missing values, distributions and descriptive statistics, item-to-scale correlations and internal consistency. Performed were confirmatory factor analysis (CFA) of the 2-factor model (sharing and caring dimensions), scale depuration and principal component analysis (PCA). RESULTS: Low inter-item correlations were observed, and the CFA 2-factor model only obtained a good fit to the data after excluding 8 items. Internal consistency of the 10-item PPOS was acceptable (0.77), but low for individual subscales (0.70 and 0.55). PCA results suggest a possible 3-factor structure. Participants showed a patient-oriented style (mean = 4.46, SD = 0.73), with higher scores for caring than sharing. CONCLUSION: Although the 2-factor model obtained empirical support, measurement indicators of the PPOS (caring dimension) could be improved. Spanish primary care health-care professionals overall show a patient-oriented attitude, although less marked in issues such as patients' need for and management of medical information.