ArticleBMC public health2011
Properties of a short questionnaire for assessing primary care experiences for children in a population survey.
Article in BMC public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Article
- Conceptualisation and design of a protocol for a novel social drivers and primary care screening tool in paediatric orthopaedics: a quality improvement initiative.BMJ open quality · 2025Article
- Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation.BMC health services research · 2024Article
- A Decade of Monitoring Primary Healthcare Experiences through the Lens of Inequality.Healthcare (Basel, Switzerland) · 2024Article
- Comparative analysis of primary health care attributes between children under and over 3 years of age using the primary care assessment tool.Clinics (Sao Paulo, Brazil) · 2024Article
- Primary Health Care assessment in the COVID-19 pandemic from physicians' and nurses' perspective.Revista brasileira de enfermagem · 2023Article
- Time trends in the use of field-substitution in the Belgian health interview survey.Archives of public health = Archives belges de sante publique · 2022Article
- Primary care visits increase utilization of evidence-based preventative health measures.BMC family practice · 2020Article
- Following the legacy of professors Barbara Starfield and Leiyu Shi in Brazil as health policy: the National Health Survey (PNS), led by the Brazilian National Institute of Geography and Statistics (IBGE) and the Primary Care Assessment Tool (PCAT).International journal for equity in health · 2019Review
- Performance of primary care in different healthcare facilities: a cross-sectional study of patients' experiences in Southern Malawi.BMJ open · 2019Article
- Development of primary care assessment tool-adult version in Tibet: implication for low- and middle-income countries.Primary health care research & development · 2019Article
- The impact of primary care: a focused review.Scientifica · 2012Review
- Patients' experiences in different models of community health centers in southern China.Annals of family medicineArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Primary Care Assessment Tool (PCAT) is an interesting set of tools for primary care research. A very short version could inform policy makers about consumer experiences with primary care (PC) through health surveys. This work aimed to investigate the validity and reliability of a selection of items from the child short edition (CS) of the PCAT.
methodsA 24 item questionnaire permitted the identification of a regular source of care and the assessment of the key attributes of first contact, ongoing care over time, coordination, services available and services received (comprehensiveness), and cultural competence. Structural validity, reliability, and construct validity were assessed using responses from 2,200 parents of a representative sample of the population aged 0 to 14 years in Catalonia (Spain) who participated in the 2006 Health Survey. Structural validity was analyzed using exploratory and confirmatory factor analyses and reliability was assessed using Cronbach's alpha. Construct validity was assessed using linear regression analysis between PC experience scores and a measure of overall user satisfaction with healthcare services.
resultsA total of 2,095 (95.2%) parents provided useable responses on PC. After Confirmatory Factor Analysis (CFA), the best fitting model was a 5-factor model in which the original dimensions of first contact and ongoing care were collapsed into one. The CFA also showed a second order factor onto which all domains except services available loaded (root mean square error of approximation = 0.000; comparative fit index = 1.00). Cronbach's alpha values for one of the original scales (first-contact) was poor (alpha < 0.50), but improved using the modified factor structure (alpha > 0.70). Scores on the scales were correlated with satisfaction with healthcare services (p < 0.01), thereby providing some preliminary evidence of construct validity.
conclusionsThis very short questionnaire obtained from the PCAT-CE yields information about five attributes of PC and a summary score. It has shown evidence of validity and reliability for judgments about experiences with primary care overall. If space on surveys is at a premium, the instrument could be useful as a measure of PC experiences.
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