Wang Wenhua, Shi Leiyu, Yin Aitian, Lai Youwen, Maitland Elizabeth, Nicholas Stephen
Center for Health Management and Policy, Shandong University, 44 Wenhuaxilu, Jinan, Shandong 250012, China.
Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Primary Care Policy Center, 624 North Broadway, Baltimore, MD 21205, USA.
Biomed Res Int. 2014;2014:308739. doi: 10.1155/2014/308739. Epub 2014 May 21.
To develop a primary care assessment tool in Tibetan area and assess the primary care quality among different healthcare settings.
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.
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).
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.
开发藏区基层医疗评估工具，并评估不同医疗机构的基层医疗质量。
开发基层医疗评估工具藏文版（PCAT-T）以测量七个基层医疗领域。来自1386名患者的横断面调查数据用于对PCAT-T进行效度和信度分析。采用方差分析对不同医疗机构的基层医疗质量进行比较。
构建了一个包含28个条目的PCAT-T，其中包括七个多条目量表和两个单条目量表。所有多条目量表均具有良好的内部一致性和条目-总分相关性。量表假设检验得到很好满足。除首次接触和连续性外，所有量表均观察到了完整的可能得分范围。与地区医院（77.42）和县级医院（82.01）相比，乡镇卫生院的基层医疗质量总分最高（86.64）。
PCAT-T是衡量西藏自治区患者基层医疗体验的有效且可靠的工具。与其他医疗机构相比，乡镇卫生院的基层医疗表现最佳，乡镇卫生院应在西藏提供基层医疗服务中发挥关键作用。
