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Measuring consumer experiences with primary care.

C E Cassady1, B Starfield, M P Hurtado

  • 1Schools of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland, USA.

Pediatrics
|April 1, 2000
PubMed
Summary
This summary is machine-generated.

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The Primary Care Assessment Tool-Child Edition (PCAT-CE) adequately assesses primary care quality for children. Its psychometric properties support its use in evaluating pediatric primary care services.

Area of Science:

  • Pediatric Primary Care
  • Health Services Research
  • Psychometrics

Background:

  • Assessing the quality of primary care for children and youth is crucial for ensuring optimal health outcomes.
  • The Primary Care Assessment Tool-Child Edition (PCAT-CE) is a tool designed for this purpose.
  • Evaluating the psychometric properties of the PCAT-CE is essential to confirm its validity and reliability.

Purpose of the Study:

  • To evaluate the adequacy of the PCAT-CE in assessing key characteristics of primary care services for pediatric populations.
  • To determine the reliability and validity of the PCAT-CE scales.

Main Methods:

  • A community-based telephone survey was conducted in Washington, DC.
  • Four hundred fifty parents/guardians of children 18 years or younger participated.

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  • Reliability, validity, and principal component analysis were performed on PCAT-CE scales measuring primary care domains.

    • Main Results:

    • Most PCAT-CE scales demonstrated adequate internal consistency, test-retest reliability, and construct validity.
    • Factor analysis identified five distinct factors corresponding to first contact accessibility, care coordination, professional-patient relationship, and comprehensiveness of care.
    • These factors align with key aspects of primary care delivery for children.

    Conclusions:

    • Psychometric evaluation supports the overall adequacy and integrity of the PCAT-CE for assessing primary care quality in children and youth.
    • Further testing of revised PCAT-CE versions in diverse settings is ongoing.
    • Efforts are underway to potentially reduce the number of items while maintaining detailed assessment of primary care components.