ArticleHealthcare policy = Politiques de sante2011
Accessibility from the patient perspective: comparison of primary healthcare evaluation instruments.
Article in Healthcare policy = Politiques de sante, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Determinants of access to HIV testing and counselling services among female sex workers in sub-Saharan Africa: a systematic review.BMC public health · 2019Pooled it
- Instruments Measuring Integrated Care: A Systematic Review of Measurement Properties.The Milbank quarterly · 2016Pooled it
- Perceptions of healthcare access among Lithuanians aged 65 and over during the COVID-19 pandemic.Frontiers in public health · 2025Article
- Predictors of PrEP awareness, PrEP discussion and interest in long-acting injectable PrEP among Filipina transfeminine adults.Journal of the International AIDS Society · 2023Article
- Perceived Access and Appropriateness: Comparison of Teaching and Resident Family Physicians' Patients.Family medicine · 2023Article
- Patient experience of residents with restricted primary care access during the COVID-19 pandemic.Family medicine and community health · 2022Article
- Characterizing Awareness of Pre-Exposure Prophylaxis for HIV Prevention in Manila and Cebu, Philippines: Web-Based Survey of Filipino Cisgender Men Who Have Sex With Men.Journal of medical Internet research · 2022Article
- Responsive Medical Providers and Recent HIV Medical Services Engagement Among Transgender Women and Cisgender Men Who Have Sex With Men in the Philippines.AIDS education and prevention : official publication of the International Society for AIDS Education · 2021Article
- Characterizing PrEP Awareness and Interest Among Filipina Transgender Women.AIDS education and prevention : official publication of the International Society for AIDS Education · 2020Article
- Development of primary care assessment tool-adult version in Tibet: implication for low- and middle-income countries.Primary health care research & development · 2019Article
- Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care.International journal of environmental research and public health · 2019Article
- Analysis of factors associated with waiting times for GP appointments in Finnish health centres: a QUALICOPC study.BMC research notes · 2018Article
- Patients' perceptions of access to primary care: Analysis of the QUALICOPC Patient Experiences Survey.Canadian family physician Medecin de famille canadien · 2018Article
- Old principles, persisting challenges: Maternal health care market alignment in Mexico in the search for UHC.PloS one · 2018Article
- Potential barriers in healthcare access of the elderly population influenced by the economic crisis and the troika agreement: a qualitative case study in Lisbon, Portugal.International journal for equity in health · 2017Article
- Survey Instruments to Assess Patient Experiences With Access and Coordination Across Health Care Settings: Available and Needed Measures.Medical care · 2017Review
- Validation of a new measure of availability and accommodation of health care that is valid for rural and urban contexts.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- A comparative analysis of centralized waiting lists for patients without a primary care provider implemented in six Canadian provinces: study protocol.BMC health services research · 2017Article
- Is patient satisfaction with organizational aspects of their general practitioner's practice associated with patient and doctor gender? An observational study.BMC family practice · 2016Observational
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledThe operational definition of first-contact accessibility is "the ease with which a person can obtain needed care (including advice and support) from the practitioner of choice within a time frame appropriate to the urgency of the problem"; accommodation is "the way healthcare resources are organized to accommodate a wide range of patients' abilities to contact healthcare providers and reach healthcare services, that is to say telephone services, flexible appointment systems, hours of operation, and walk-in periods."
objectiveTo compare how well accessibility is measured in validated subscales that evaluate primary healthcare from the patient's perspective.
method645 adults with at least one healthcare contact in the previous 12 months responded to six instruments that evaluate primary healthcare with four subscales that measure accessibility: the Primary Care Assessment Survey (PCAS), the Primary Care Assessment Tool - Short Form (PCAT-S, two subscales) and the first version of the EUROPEP (EUROPEP-I). Scores were normalized to a 0-to-10 scale for descriptive comparison. Exploratory and confirmatory (structural equation modelling) factor analysis examined fit to operational definition, and item response theory analysis examined item performance on common constructs.
resultsThe subscales demonstrate similar psychometric measures to those reported by developers. The PCAT-S First-Contact Utilization subscale does not fit the accessibility construct. The remaining three subscales load reasonably onto a single factor, presumed to be accessibility, but the best-fitting model has two factors: "timeliness of obtaining needed care" (PCAT-S First-Contact Access, some EUROPEP-I items) and "how resources are organized to accommodate clients" (PCAS Organizational Access and most of EUROPEP-I organization of care). Items in the PCAS and PCAT-S subscales have good discriminability.
conclusionOnly three of the four subscales measure accessibility; all are appropriate for use in Canada. The PCAT-S First-Contact Access subscale is the best measure for first-contact accessibility, and PCAS Organizational Accessibility has good metric properties and measures for accommodation.
Identifiers
23205038PMC3399437What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.