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Development and validation of the Vietnamese Primary Care Assessment Tool : provider version

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Abstract
Aim: To adapt the provider version of the Primary Care Assessment Tool (PCAT) for Vietnam and determine its internal consistency and validity. Background: There is a growing need to measure and explore the impact of various characteristics of health care systems on the quality of primary care. It would provide the best evidence for policy makers if these evaluations come from both the demand and supply sides of the health care sector. Comparatively more researchers have studied primary care quality from the consumer perspective than from the provider's perspective. This study aims at the latter. Method: Our study translated and adapted the PCAT provider version (PCAT PE) into a Vietnamese version, after which a cross-sectional survey was conducted to examine the feasibility, internal consistency and validity of the Vietnamese PCAT provider version (VN PCAT PE). All general doctors working at 152 commune health centres in Thua Thien Hue province had been selected to participate in the survey. Findings: The VN PCAT PE is an instrument for evaluation of primary care in Vietnam with 116 items comprising six scales representing four core primary care domains, and three additional scales representing three derivative domains. From the translation and cultural adaptation stage, two items were combined, two items were removed and one item was added. Six other items were excluded due to problems in item-total correlations. All items have a low non-response or 'don't know/don't remember' response rate, and there were no floor or ceiling effects. All scales had a Cronbach's alpha above 0.80, except for the Coordination scale, which still was above the minimum level of 0.70. Conclusion: The VN PCAT PE demonstrates adequate internal consistency and validity to be used as an effective tool for measuring the quality of primary care in Vietnam from the provider perspective.
Keywords
assessment, primary care quality, provider perspectives, MIDDLE-INCOME COUNTRIES, DATA QUALITY, HEALTH, SYSTEMS, MORTALITY

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MLA
Nguyen Thi, Hoa, et al. “Development and Validation of the Vietnamese Primary Care Assessment Tool : Provider Version.” PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT, vol. 20, 2019.
APA
Nguyen Thi, H., Derese, A., Markuns, J. F., Tam, N. M., & Peersman, W. (2019). Development and validation of the Vietnamese Primary Care Assessment Tool : provider version. PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT, 20.
Chicago author-date
Nguyen Thi, Hoa, Anselme Derese, Jeffrey F Markuns, Nguyen Minh Tam, and Wim Peersman. 2019. “Development and Validation of the Vietnamese Primary Care Assessment Tool : Provider Version.” PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT 20.
Chicago author-date (all authors)
Nguyen Thi, Hoa, Anselme Derese, Jeffrey F Markuns, Nguyen Minh Tam, and Wim Peersman. 2019. “Development and Validation of the Vietnamese Primary Care Assessment Tool : Provider Version.” PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT 20.
Vancouver
1.
Nguyen Thi H, Derese A, Markuns JF, Tam NM, Peersman W. Development and validation of the Vietnamese Primary Care Assessment Tool : provider version. PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT. 2019;20.
IEEE
[1]
H. Nguyen Thi, A. Derese, J. F. Markuns, N. M. Tam, and W. Peersman, “Development and validation of the Vietnamese Primary Care Assessment Tool : provider version,” PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT, vol. 20, 2019.
@article{8621619,
  abstract     = {Aim: To adapt the provider version of the Primary Care Assessment Tool (PCAT) for Vietnam and determine its internal consistency and validity.
Background: There is a growing need to measure and explore the impact of various characteristics of health care systems on the quality of primary care. It would provide the best evidence for policy makers if these evaluations come from both the demand and supply sides of the health care sector. Comparatively more researchers have studied primary care quality from the consumer perspective than from the provider's perspective. This study aims at the latter.
Method: Our study translated and adapted the PCAT provider version (PCAT PE) into a Vietnamese version, after which a cross-sectional survey was conducted to examine the feasibility, internal consistency and validity of the Vietnamese PCAT provider version (VN PCAT PE). All general doctors working at 152 commune health centres in Thua Thien Hue province had been selected to participate in the survey.
Findings: The VN PCAT PE is an instrument for evaluation of primary care in Vietnam with 116 items comprising six scales representing four core primary care domains, and three additional scales representing three derivative domains. From the translation and cultural adaptation stage, two items were combined, two items were removed and one item was added. Six other items were excluded due to problems in item-total correlations. All items have a low non-response or 'don't know/don't remember' response rate, and there were no floor or ceiling effects. All scales had a Cronbach's alpha above 0.80, except for the Coordination scale, which still was above the minimum level of 0.70.
Conclusion: The VN PCAT PE demonstrates adequate internal consistency and validity to be used as an effective tool for measuring the quality of primary care in Vietnam from the provider perspective.},
  articleno    = {e86},
  author       = {Nguyen Thi, Hoa and Derese, Anselme and Markuns, Jeffrey F and Tam, Nguyen Minh and Peersman, Wim},
  issn         = {1463-4236},
  journal      = {PRIMARY HEALTH CARE RESEARCH AND DEVELOPMENT},
  keywords     = {assessment,primary care quality,provider perspectives,MIDDLE-INCOME COUNTRIES,DATA QUALITY,HEALTH,SYSTEMS,MORTALITY},
  language     = {eng},
  title        = {Development and validation of the Vietnamese Primary Care Assessment Tool : provider version},
  url          = {http://dx.doi.org/10.1017/s1463423619000458},
  volume       = {20},
  year         = {2019},
}

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