Jeannie Haggerty|Fred Burge|Marie?Dominique Beaulieu|Raynald Pineault|Christine Beaulieu|Jean?Frédéric Levesque|Darcy A. Santor|David Gass|Beverley Lawson
Validation of Instruments to Evaluate Primary Healthcare from the Patient Perspective: Overview of the Method
Dalhousie University|Dalhousie University
patient evaluations important part monitoring primary healthcare reforms little comparative information available guide evaluators choice instruments determine relevance canadaobjective compare values psychometric performances validated instruments thought pertinent canadian context evaluating core attributes primary healthcaremethod among validated instruments public domain selected six primary care assessment survey pcas primary care assessment tool short form pcats components primary care index cpci first version europep europepi interpersonal processes care survey version ii ipcii part veterans affairs national outpatient customer satisfaction survey vanocsswe mapped subscales operational definitions attributesall administered sample adult service users balanced englishfrench language nova scotia quebec respectively urbanrural residency highlow education overall care experiencethe sample recruited previous survey respondents newspaper advertisements community posterswe used common factor analysis compare factor resolution instrument developersresults sample 645 respondents approximately balanced design variables considerable effort required recruit loweducation poorexperience respondentssubscale scores statistically different excellent average poor overall experience interpersonal communication respectfulness scores discriminating overall experiencewe found fewer factors developers constrained number expected factors item loadings largely similar found developerssubscale reliability equivalent higher reported developersconclusion instruments perform similarly canadian context original development context used confidenceinterpersonal respectfulness scores discriminating excellent average poor overall experience crucial dimensions patient evaluations rsuml valuation des soins de sant primaires par les patients constituent un aspect important du suivi des reformes des soins de sant primaires mais il existe peu dinformation comparative pour orienter les valuateurs dans le choix dinstruments ou pour dterminer leur pertinence au canada