title: Evaluating the structure of the Patient Assessment of Chronic Illness Care (PACIC) survey from the patient's perspective.
abstract: BACKGROUND
  The Patient Assessment of Chronic Illness Care (PACIC) survey is a widely used instrument to assess the patient experience with healthcare delivery.
  
  
  OBJECTIVE
  This study aims to evaluate the factorial structure of PACIC from the patient perspective.
  
  
  METHODS
  A postal survey was mailed to 4,796 randomly selected adults with diabetes from 34 primary care clinics. Internal consistencies of PACIC subscales were assessed by Cronhach's α. Factorial structure was evaluated by confirmatory and exploratory factor analyses.
  
  
  RESULTS
  Based on responses of 2,055 patients (43% response rate), exploratory factor analysis discerned a 4-factor, not 5-factor, model dominated by patient evaluation of healthcare services (explaining 74% of the variance). The other 3 factors addressed patient involvement (goal setting, participating in the healthcare team) and social support for self-management.
  
  
  CONCLUSIONS
  The underlying factorial structure of PACIC, which reflects the patient perspective, is dynamic, patient-centered, and differs from the original 5-factor model that was more aligned with views of healthcare delivery stakeholders.
authors.affiliation: Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, 200 First Street SW., Rochester, MN, 55905, USA.
authors.forename: Jiaquan
authors.initials: J
authors.lastname: Fan
authors.forename: Rozalina G
authors.initials: RG
authors.lastname: McCoy
authors.forename: Jeanette Y
authors.initials: JY
authors.lastname: Ziegenfuss
authors.forename: Steven A
authors.initials: SA
authors.lastname: Smith
authors.forename: Bijan J
authors.initials: BJ
authors.lastname: Borah
authors.forename: James R
authors.initials: JR
authors.lastname: Deming
authors.forename: Victor M
authors.initials: VM
authors.lastname: Montori
authors.forename: Nilay D
authors.initials: ND
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011594:Psychometrics; D012648:Self Care; D011795:Surveys and Questionnaires; D055815:Young Adult