Gan Jinglin, Hu Peipei, Tang Tak-Ka, Lee Cheuk Ling, Liu Chen-Wei, Wong Eliza Lai-Yi, Lai Francisco Tsz Tsun, Hon-Kei Yip Benjamin
The Chinese University of Hong Kong, Hong Kong SAR, China.
Shenzhen Center for Chronic Disease Control, Shenzhen, China.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251368995. doi: 10.1177/21501319251368995. Epub 2025 Sep 16.
Patient-centered care and assessing patient experience is essential for improving healthcare quality, particularly for individuals with multimorbidity, who require coordinated and personalized care. Despite its importance, no valid and reliable tool is currently available for measuring patient-centered care for the multimorbid population within the Cantonese cultural context, limiting local healthcare evaluations. This study recruited 500 multimorbid participants from a General Outpatient Clinic in Sha Tin, Hong Kong, to validate the translated and culturally adapted patient-centeredness assessment instrument.
This study aimed to adapt and validate the Cantonese version of the Patient-Centered Primary Care instrument, originally developed by Cramm and Nieboer, for use among Hong Kong residents with multimorbidity.
The 35-item Cantonese version of the Patient-Centered Primary Care instrument was translated into Cantonese using standard translation procedures. A cross-sectional telephone survey was conducted from August to November 2023, recruiting 500 middle-aged Hong Kong residents with multimorbidity (≥2 chronic conditions). Confirmatory factor analysis was conducted to test the 8-dimensional structure, while reliability (McDonald's Omega) and validity (discriminant, convergent, and criterion-related) were assessed.
Confirmatory factor analysis demonstrated marginally acceptable fit indices: SRMR = 0.073, RMSEA = 0.064, CFI = 0.871, and TLI = 0.856. The discriminant validity was supported (HTMT ratios <0.85). The total Omega value for the multidimensional scale was .91, with total Omega values for each dimension ranging from .79 to .95, demonstrating strong reliability. Convergent validity was confirmed via significant correlations with the Patient Enablement Instrument (PEI; < .001). Criterion-related validity was not established, as no significant evidence supported.
The Cantonese version of PCPC instrument demonstrates acceptable reliability and validity for assessing patient-centered care in Hong Kong's multimorbid population. This tool addresses the lack of relevant assessment measures, provides a practical solution for evaluating patient centeredness in this specific clinical context.
以患者为中心的护理以及评估患者体验对于提高医疗质量至关重要，尤其是对于患有多种疾病的个体而言，他们需要协调和个性化的护理。尽管其很重要，但目前在粤语文化背景下，尚无有效且可靠的工具可用于衡量针对患有多种疾病人群的以患者为中心的护理，这限制了当地的医疗评估。本研究从香港沙田的一家普通门诊诊所招募了500名患有多种疾病的参与者，以验证经过翻译和文化调适的以患者为中心的评估工具。
本研究旨在调适并验证最初由克拉姆和尼伯尔开发的以患者为中心的初级护理工具的粤语版本，以供香港患有多种疾病的居民使用。
采用标准翻译程序将包含35个条目的以患者为中心的初级护理工具粤语版本翻译成粤语。于2023年8月至11月进行了一项横断面电话调查，招募了500名患有多种疾病（≥2种慢性病）的香港中年居民。进行验证性因素分析以检验八维结构，同时评估信度（麦克唐纳欧米伽系数）和效度（区分效度、聚合效度和效标关联效度）。
验证性因素分析显示拟合指数勉强可以接受：标准化残差均方根（SRMR）=0.073，近似误差均方根（RMSEA）=0.064，比较拟合指数（CFI）=0.871，塔克-刘易斯指数（TLI）=0.856。区分效度得到支持（异质特质-同质特质相关比＜0.85）。多维量表的总欧米伽值为0.91，各维度的总欧米伽值范围为0.79至0.95，显示出较强的信度。通过与患者赋能工具（PEI；＜0.001）的显著相关性确认了聚合效度。效标关联效度未得到确立，因为没有显著证据支持。
以患者为中心的初级护理工具粤语版本在评估香港患有多种疾病人群的以患者为中心的护理方面显示出可接受的信度和效度。该工具解决了相关评估措施的缺乏问题，为在这一特定临床背景下评估以患者为中心的程度提供了切实可行的解决方案。
