INSTITUTO DE INVESTIGACIONES EN CIENCIAS DE LA SALUD
Unidad Ejecutora - UE
Evaluation of Primary Health Care: the "Primary Care Assessment Tools-Facility version" for the Spanish Health System.
PASARÍN MI; BERRA S; GONZÁLEZ A; SEGURA A ; TEBÉ C; GARCÍA-ALTÉS A; VALLVERDÚ I; STARFIELD B
Lugar: Barcelona; Año: 2012
Objective: to obtain versions of Primary Care Assessment Tools -Facility version, for use in the Spanish context, and to analyze its feasibility, reliability and validity.Methods: Cultural adaptation achieved 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 teams managers). A pilot phase was done in a sample of 130 managers of PC teams of Catalonia. A post-test questionnaire was sent 4-5 months later to all 194 managers of PC teams of Barcelona Health Region. Analysis of metric properties included: 1) description of items and verification of Likert assumptions because domain scores are obtained summing item scores; 2) reliability analysis (Cronbach´s alpha coefficient, Pearson correlation coefficient, test-retest analysis); and 3) validity analysis (expert panel, cognitive interviews, and convergent and discriminant validity).Results: Important adaptation was required for the accessory section of the questionnaire, but not so much in the PC domains measurements. Items were added in the comprehensiveness domain reflecting 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 for other domains values were > 0.70.Conclusion: The Spanish version of the PCAT-Facility questionnaire is now available and presents adequate reliability and validity. The Spanish PCAT version will facilitate intra and international comparisons of PC and analysis of determinants of quality of service provision.