title: Development and validation of the Tibetan primary care assessment tool.
abstract: OBJECTIVE
  To develop a primary care assessment tool in Tibetan area and assess the primary care quality among different healthcare settings.
  
  
  METHODS
  Primary care assessment tool-Tibetan version (PCAT-T) was developed to measure seven primary care domains. Data from a cross-sectional survey of 1386 patients was used to conduct validity and reliability analysis of PCAT-T. Analysis of variance was used to conduct comparison of primary care quality among different healthcare settings.
  
  
  RESULTS
  A 28-item PCAT-T was constructed which included seven multi-item scales and two single-item scales. All of multi-item scales achieved good internal consistency and item-total correlations. Scaling assumptions tests were well satisfied. The full range of possible scores was observed for all scales, except first contact and continuity. Compared with prefecture hospital (77.42) and county hospital (82.01), township health center achieved highest primary care quality total score (86.64).
  
  
  CONCLUSIONS
  PCAT-T is a valid and reliable tool to measure patients' experience of primary care in the Tibet Autonomous Region. Township health center has the best primary care performance compared with other healthcare settings, and township health center should play a key role in providing primary care in Tibet.
authors: Center for Health Management and Policy, Shandong University, 44 Wenhuaxilu, Jinan, Shandong 250012, China.
authors: Wenhua
authors: 0000-0002-5429-728X
authors: W
authors: Wang
authors: Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Primary Care Policy Center, 624 North Broadway, Baltimore, MD 21205, USA.
authors: Leiyu
authors: 0000-0001-9227-0849
authors: L
authors: Shi
authors: Center for Health Management and Policy, Shandong University, 44 Wenhuaxilu, Jinan, Shandong 250012, China.
authors: Aitian
authors: A
authors: Yin
authors: Tibet Health Capacity Building Program, No. 2 Norbulinka South Road, Lhasa, Tibet 850000, China.
authors: Youwen
authors: Y
authors: Lai
authors: School of Management, Australian School of Business, University of New South Wales, Sydney, NSW 2052, Australia.
authors: Elizabeth
authors: 0000-0003-1551-4787
authors: E
authors: Maitland
authors: Guangdong Research Institute for International Strategies, Guangdong University of Foreign Studies, No. 2 Baiyun Dadao Bei, Guangzhou, Guangdong 510420, China ; Tianjin Normal University, 57-1 Wujiayao Road, Hexi District, Tianjin 300074, China ; Faculty of Business and Law, University of Newcastle, Newcastle, NSW 2308, Australia.
authors: Stephen
authors: 0000-0001-6770-7105
authors: S
authors: Nicholas
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D011785:Quality Assurance, Health Care / Q000379:methods*; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D018609:Tibet