title: The Development and Validation of a Rapid Assessment Tool of Primary Care in China.
abstract: Introduction. With Chinese health care reform increasingly emphasizing the importance of primary care, the need for a tool to evaluate primary care performance and service delivery is clear. This study presents a methodology for a rapid assessment of primary care organizations and service delivery in China. Methods. The study translated and adapted the Primary Care Assessment Tool-Adult Edition (PCAT-AE) into a Chinese version to measure core dimensions of primary care, namely, first contact, continuity, comprehensiveness, and coordination. A cross-sectional survey was conducted to assess the validity and reliability of the Chinese Rapid Primary Care Assessment Tool (CR-PCAT). Eight community health centers in Guangdong province have been selected to participate in the survey. Results. A total of 1465 effective samples were included for data analysis. Eight items were eliminated following principal component analysis and reliability testing. The principal component analysis extracted five multiple-item scales (first contact utilization, first contact accessibility, ongoing care, comprehensiveness, and coordination). The tests of scaling assumptions were basically met. Conclusion. The standard psychometric evaluation indicates that the scales have achieved relatively good reliability and validity. The CR-PCAT provides a rapid and reliable measure of four core dimensions of primary care, which could be applied in various scenarios.
authors.affiliation: Institute of Social Medicine and Health Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, Guangdong 510080, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Mei
authors.affiliation: Institute of Social Medicine and Health Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, Guangdong 510080, China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Liang
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Primary Care Policy Center, 624 North Broadway, Baltimore, MD 21205, USA.
authors.forename: LeiYu
authors.initials: L
authors.lastname: Shi
authors.affiliation: Institute of Social Medicine and Health Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, Guangdong 510080, China.
authors.forename: JingGe
authors.initials: J
authors.lastname: Zhao
authors.affiliation: Institute of Social Medicine and Health Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, Guangdong 510080, China.
authors.forename: YuTan
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Institute of Social Medicine and Health Management, School of Public Health, Sun Yat-sen University, 74 Zhongshan 2nd Road, Guangzhou, Guangdong 510080, China.
authors.forename: Li
authors.initials: L
authors.lastname: Kuang
mesh_terms: D002681:China; D003151:Community Health Centers; D003430:Cross-Sectional Studies; D006801:Humans; D011320:Primary Health Care; D011594:Psychometrics / Q000379:methods; D011787:Quality of Health Care