ArticleBMC health services research2021
Psychometric evaluation of the perceived access to health care questionnaire.
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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The trial behind it
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Who cites it
27 citing papers in PubMed.
- Article
- Development of a supportive-educative nursing model based on health promotion for independent wound care in diabetic foot ulcer patients: A cross-sectional study.International journal of nursing studies advances · 2026Article
- Article
- Article
- What influences the perceived access to healthcare services? An investigation using Structural Equation Modeling.Frontiers in public health · 2026Article
- Why do they sign but not consult? A study on the effectiveness of China's family doctor contract services from the perspective of patient-doctor interaction.Frontiers in medicine · 2026Article
- Community perceptions of the health equity navigators program: a cross-sectional study in rural and medically underserved areas of Georgia, USA.BMC public health · 2025Article
- Malnutrition among patients with end-stage renal disease in war 2024: the role of healthcare access, dialysis, gender, and economic disparities.International journal for equity in health · 2025Article
- Utilization of antenatal care services and associated factors among urban refugee adolescents in Kampala, Uganda.African health sciences · 2025Article
- Exploring network relations between healthcare access and utilisation in individuals with rare diseases.Public health in practice (Oxford, England) · 2025Article
- The validity of a new resilience scale: the Japan Resilience Scale (J-RS) for mothers with a focus on cultural aspects.BMC public health · 2025Article
- Improving the Health and Well-Being of Individuals by Addressing Social, Economic, and Health Inequities (Healthy Eating Active Living): Protocol for a Cohort Study.JMIR research protocols · 2025Article
- Adaptation and Psychometric Assessment of the Turkish Version of the Perceived Access to Health Care Questionnaire: Validity and Reliability Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Arabic Version of the Perceived Access to Health Care Questionnaire: Validation, Factor Analysis, and Rasch Modeling.Health services insights · 2025Article
- Cross-cultural adaptation and validation of the Arabic version of the "Perceived Access to Health Questionnaire" among university students in Morocco.Journal of education and health promotion · 2025Article
- MAHI: A multidimensional access to healthcare index for hijra, kothi, and transgender individuals.International journal of transgender health · 2025Article
- Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation.BMC health services research · 2024Article
- Development of a multidimensional measure of health care access among LGBTQ midlife and older adults in the United States.SSM - health systems · 2024Article
- Psychometric Evaluation of the German Version of the Perceived Access to Healthcare Questionnaire in a Sample of Individuals with Rare Chronic Diseases.Healthcare (Basel, Switzerland) · 2024Article
- Design and validation of a Questionnaire on the factors influencing self-care behaviors in patients with Multiple sclerosis (QFASMS).BMC neurology · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveAccess to health care is a universal concern. Therefore, this study was conducted to develop a questionnaire to assess the Perceived Access to Health care based on Penchansky and Thomas's definition of access and the assessment of its psychometric properties.
methodThe initial questionnaire contains 31 items developed based on a deductive approach with an extensive review of the related literature. Content validity, face validity, construct validity, internal consistency, and instrument reliability were further examined. Data analysis was conducted using SPSS software version 24, R software version 4, and lavaan package.
resultsThe initial questionnaire was examined using qualitative content validity, and the necessary modifications were applied to each item. The content validity ratio (CVR) was approved in 30 items with a value greater than 0.78, and one item with a CVR value lower than 0.78 was removed. In the case of the content validity index (CVI), 29 items were approved with a CVI value of greater than 0.79, and one item with a CVI value between 0.70 and 0.79 was revised. In qualitative face validity, all items were approved by a panel of experts and the participants. All 30 items with an impact score index higher than 1.5 were approved for the next steps. The confirmatory factor analysis results showed that the six-factor model of access to health care has an appropriate fit. Cronbach's alpha coefficient for the questionnaire was calculated 0.86. The value of Cronbach's alpha for the dimensions of availability, accessibility, affordability, accommodation, acceptability, and awareness were 0.61, 0.76, 0.66, 0.60, 0.80, and 0.76, respectively. The Intraclass Correlation Index (ICC) value for reliability (test-retest) of the whole instrument was calculated 0.94 using the two-way mixed absolute agreement method.
conclusionThe success of health programs depends on eliminating barriers to access to provided health care services. One of the most critical barriers to understanding access is a perception of limited access. This questionnaire might be used further to understand perceived health care access in different global contexts.
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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.