Hoa Nguyen Thi, Tam Nguyen Minh, Peersman Wim, Derese Anselme, Markuns Jeffrey F
Department of Family Medicine, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
Department of Family Medicine and Primary Healthcare, Ghent University, Ghent, Belgium.
PLoS One. 2018 Jan 11;13(1):e0191181. doi: 10.1371/journal.pone.0191181. eCollection 2018.
To adapt the consumer version of the Primary Care Assessment Tool (PCAT) for Vietnam and determine its internal consistency and validity.
A quantitative cross sectional study.
56 communes in 3 representative provinces of central Vietnam.
Total of 3289 people who used health care services at health facility at least once over the past two years.
The Vietnamese adult expanded consumer version of the PCAT (VN PCAT-AE) is an instrument for evaluation of primary care in Vietnam with 70 items comprising six scales representing four core primary care domains, and three additional scales representing three derivative domains. Sixteen other items from the original tool were not included in the final instrument, due to problems with missing values, floor or ceiling effects, and item-total correlations. All the retained scales have a Cronbach's alpha above 0.70 except for the subscale of Family Centeredness.
The VN PCAT-AE demonstrates adequate internal consistency and validity to be used as an effective tool for measuring the quality of primary care in Vietnam from the consumer perspective. Additional work in the future to optimize valid measurement in all domains consistent with the original version of the tool may be helpful as the primary care system in Vietnam further develops.
对越南版初级保健评估工具（PCAT）的消费者版本进行改编，并确定其内部一致性和有效性。
定量横断面研究。
越南中部3个代表性省份的56个公社。
在过去两年中至少在医疗机构使用过一次医疗服务的3289人。
越南成人扩展消费者版PCAT（VN PCAT-AE）是一种用于评估越南初级保健的工具，有70个项目，包括代表四个核心初级保健领域的六个量表，以及代表三个衍生领域的另外三个量表。由于存在缺失值、地板效应或天花板效应以及项目-总分相关性问题，原始工具中的其他16个项目未包含在最终工具中。除家庭中心主义子量表外，所有保留的量表的克朗巴哈系数均高于0.70。
VN PCAT-AE显示出足够的内部一致性和有效性，可作为从消费者角度衡量越南初级保健质量的有效工具。随着越南初级保健系统的进一步发展，未来开展更多工作以优化与该工具原始版本一致的所有领域的有效测量可能会有所帮助。
