中国全科医学2016，Vol.19Issue(7)：813-818,823,7.DOI:10.3969/j.issn.1007-9572.2016.07.016
全科医疗特征功能测量工具基础保健评价工具-成人简短版在我国的适用性研究
Suitability of the Primary Care Assessment Tool for Adult Evaluation in Chinese Context
摘要
Abstract
Objective To investigate the suitability of primary care assessment tool for adult evaluation ( PCAT-AE) in the context of Chinese sociocultural environment and health care system.Methods The PCAT-AE was adopted and was translated into Chinese and slightly modified to adapt to the general practice in China.The formal scale included 7 dimensions and 23 items; the 7 dimensions were first contact care utilization, accessibility, continuity, comprehensiveness, coordination, family-orientation, community-orientation and cultural competence.Using cultural sampling method, the research took place in 8 community health centers ( CHCs) and one general outpatient clinic of a public hospital in Guangzhou, Shenzhen and Dongguan in Guangdong Province; using convenience sampling method, the patients of the outpatient clinics of the 9 settings were enrolled as subjects.From August to September in 2014, questionnaire survey was conducted, and the survey content included the general data and PCAT-AE of the patients.A total of 1 712 questionnaires were collected, and 1 645 questionnaires were effective with an effective rate of 96.1%.Reliability and construct validity of the scale were analyzed by Cronbach′s αand exploratory factor, and the internal consistency of the scale items was evaluated using correlation coefficients.Results The overall Cronbach′sαwas 0.74; the Cronbach′sαof the three dimensions of comprehensiveness, continuity and accessibility was 0.63, 0.72 and 0.67 respectively, and the Cronbach′s αof the three dimensions of coordination, family -orientation and community-orientation, first contact care utilization was 0.58, 0.47 and 0.40 respectively.By exploratory factor analysis, seven common factors were extracted including first contact care utilization, accessibility, rapidness, continuity, comprehensiveness, coordination, family-orientation and community-orientation; the cumulative variance of the seven factors was 55.62%, and two items had factors loadings <0.4; correlation coefficient between the factor score of one item and the total score was <0.2.Conclusion The modified PCAT-AE tool has moderate suitability for assessing primary care in the developing healthcare system in China.Efforts are needed to better define the conceptual frameworks and theoretical models that fit the core attributes of general practice in China and to develop the core-attribute measurement tool that aligns with Chinese social culture and health care system.关键词
全科医疗/特征功能/基础保健评价工具-成人简短版/信度/效度Key words
General practice/Core attributes/Primary care assessment tool for adult evaluation ( PCAT-AE )/Reliability/Validity分类
医药卫生引用本文复制引用
匡莉,梁媛,梅洁,胡汝为,Li Li..全科医疗特征功能测量工具基础保健评价工具-成人简短版在我国的适用性研究[J].中国全科医学,2016,19(7):813-818,823,7.基金项目
广州市医药卫生科技项目(20141A031003）；广东省十三五卫生事业发展研究项目〔粤财社2014(465）号〕 （）
