Performance of the Person Centered Primary Care Measure in Pediatric Continuity Clinic.
Performance of the Person Centered Primary Care Measure in Pediatric Continuity Clinic.
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DOI：
10.1016/j.acap.2020.12.006
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发表时间：
2021-08
影响因子：
3.1
通讯作者：
Stange KC
中科院分区：
文献类型：
--
作者：
Ronis SD;Westphaln KK;Kleinman LC;Zyzanski SJ;Stange KC
儿科初级保健的改善工作将受益于捕捉家庭的实践整体经验的措施。我们试图评估新的以人为本的初级保健措施（PCPCM）的可靠性和有效性，在儿科住院医师连续性诊所为低收入家庭服务。我们将11项PCPCM（用于反映父母对孩子就诊的反应）纳入了2019年10月在俄亥俄州克利夫兰的儿科住院连续性诊所对194名父母进行的电话调查（64%的应答率）。我们使用因素分析和Rasch模型评估了PCPCM项目，并评估了PCPCM与父母人口统计学和对儿童护理特定要素的看法之间的关联。在低收入家庭的样本中，PCPCM具有良好的可靠性（Cronbach α 0.85）。在主轴因子分析中，所有项目加载到单个因子上。在量表中所代表的初级保健的11个方面中，“共享经验”是最难让父母在Rasch模型中认可的。所有11个项目都对量表总分有显著贡献，校正项目-总分相关>0.4。PCPCM评分与社会人口统计学无关，与父母的报告有关，父母报告他们的孩子的临床医生花了足够的时间与他们在一起。PCPCM在儿科连续性诊所环境中表现良好，因此应考虑将其用作患者和临床医生认为在儿科初级保健中最重要的父母报告的简约措施。
Improvement efforts in pediatric primary care would benefit from measures that capture families’ holistic experience of the practice. We sought to assess the reliability and validity of the new Person-Centered Primary Care Measure (PCPCM) in a pediatric resident continuity clinic serving low-income families. We incorporated the 11-item PCPCM, stems adapted to reflect a parent responding about their child’s visit, into a telephone survey of 194 parents presenting for care in October 2019 at a pediatric resident continuity clinic in Cleveland Ohio (64% response rate). We evaluated PCPCM items using factor analysis and Rasch modeling, and assessed associations of the PCPCM with parents’ demographics and perceptions of specific elements of their child’s care. In this sample of low-income families, the PCPCM had good reliability (Cronbach’s alpha 0.85). All items loaded onto a single factor in principal axes factor analysis. Of the 11 aspects of primary care represented in the scale, “shared experience” was most difficult for parents to endorse in Rasch modeling. All 11 items contributed significantly to the total scale score with corrected item-total correlations >0.4. The PCPCM score was independent of socio demographics and was associated with parent’s report that their child’s clinician spends enough time with them. The PCPCM performs well in a pediatric continuity clinic setting, warranting consideration for its use as a parsimonious parent-reported measure of what patients and clinicians say matters most in pediatric primary care.
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影响因子：
4.4
作者：
Etz, Rebecca S.;Zyzanski, Stephen J.;Stange, Kurt C.
通讯作者：
Stange, Kurt C.
影响因子：
4.4
作者：
Stange, Kurt C;Miller, William L;Jaen, Carlos Roberto
通讯作者：
Jaen, Carlos Roberto
影响因子：
3.4
作者：
Macinko, J;Starfield, B;Shi, LY
通讯作者：
Shi, LY
影响因子：
26.1
作者：
Gleeson, Sean;Kelleher, Kelly;Gardner, William
通讯作者：
Gardner, William
影响因子：
3.1
作者：
Ronis, Sarah D.;Kleinman, Lawrence C.;Stange, Kurt C.
通讯作者：
Stange, Kurt C.