Organizational assessment in paediatric primary care: development and initial validation of the primary care organizational questionnaire.
Primary care in the United States is undergoing many changes. Reliable and valid instruments are needed to assess the effects of these changes. The Primary Care Organizational Questionnaire (PCOQ), a 56-item 5-point Likert scale survey that evaluates interactions among members of the clinic/practice and job-related attributes, was administered to clinicians and staff in 36 primary care practices serving paediatric populations in Connecticut. A priori scales were reliable (Cronbach alpha > or = 0.7). Analysis of variance (ANOVA) showed greater heterogeneity across clinics than within clinics for 13 of 15 a priori scales, which were then included in a principal component factor analysis with varimax rotation. Eigenvalue analysis showed nine significant factors, largely similar to the a priori scales, indicating concurrent construct validity. Further research will ascertain the utility of the PCOQ in predicting the effectiveness of primary care practices in implementing disease management programmes.
Hall
Charles B
CB
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461, USA. chall@aecom.yu.edu
Tennen
Howard
H
Wakefield
Dorothy B
DB
Brazil
Kevin
K
Cloutier
Michelle M
MM
D000328:Adult; D003237:Connecticut; D017598:Efficiency, Organizational; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D010372:Pediatrics / Q000458:organization & administration*; D011320:Primary Health Care; D011795:Surveys and Questionnaires