Evaluation of primary care : The " Primary Care Assessment Tools - Facility version"for the Spanish health system
Pasarín, M. Isabel (Institut d'Investigació Biomèdica Sant Pau)
Berra, Silvina (National Research and Technology Council)
González-Viana, Angelina (Agència de Salut Pública de Barcelona)
Segura, Andreu (Institut d'Estudis de la Salut)
Tebé, Cristian (Agència d'Informació, Avaluació i Qualitat en Salut)
García-Altés, Anna (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Vallverdú, Inma (Consorci Sanitari de Barcelona)
Starfield, Barbara (Johns Hopkins University)
Universitat Autònoma de Barcelona

Date:	2013
Abstract:	Objective:To obtain versions of the Primary Care Assessment Tools (PCAT)-Facility version to evaluate primary care (PC) in the Spanish context, and to analyze its feasibility, reliability and validity. Methods: Cultural adaptation was performed through the use of forward and backward translations into Spanish and Catalan, observations and opinions of a panel of experts, and cognitive interviews with target users (PC team managers). A pilot phase was carried out in a sample of 130 managers of PC teams in Catalonia. A post-test questionnaire was sent 4-5 months later to all 194 managers of PC teams in the Barcelona health region. Analysis of metric properties included: 1) description of items and verification of Likert assumptions, since domain scores are obtained by summing item scores; 2) reliability analysis (Cronbach's alpha coefficient, Pearson's correlation coefficient, test-retest analysis); and 3) validity analysis (expert panel, cognitive interviews, and convergent and discriminant validity). Results: Substantial adaptation was required for the accessory section of the questionnaire, but less was required in PC domain measurements. Items were added to the comprehensiveness domain to reflect services usually available in Spain. The lowest Cronbach's alpha scores were found for Access (0. 62) and Coordination (0. 59 and 0. 65), while values were >0. 70 for the remaining domains. Conclusion: The Spanish version of the PCAT-Facility questionnaire is now available and shows adequate reliability and validity. The Spanish PCAT version will facilitate national and international comparisons of PC and analysis of the determinants of quality of service provision. © 2011 SESPAS.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Evaluation ; Health care quality ; Primary care ; Questionnaires
Published in:	Gaceta sanitaria, Vol. 27 Núm. 1 (january 2013) , p. 12-18, ISSN 1578-1283

DOI: 10.1016/j.gaceta.2012.03.009
PMID: 22921943

7 p, 157.9 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles