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Development of the Primary Care Quality-Homeless (PCQ-H) instrument: a practical survey of homeless patients' experiences in primary care
- Source :
- Medical care, vol 52, iss 8
- Publication Year :
- 2014
- Publisher :
- eScholarship, University of California, 2014.
-
Abstract
- BackgroundHomeless patients face unique challenges in obtaining primary care responsive to their needs and context. Patient experience questionnaires could permit assessment of patient-centered medical homes for this population, but standard instruments may not reflect homeless patients' priorities and concerns.ObjectivesThis report describes (a) the content and psychometric properties of a new primary care questionnaire for homeless patients; and (b) the methods utilized in its development.MethodsStarting with quality-related constructs from the Institute of Medicine, we identified relevant themes by interviewing homeless patients and experts in their care. A multidisciplinary team drafted a preliminary set of 78 items. This was administered to homeless-experienced clients (n=563) across 3 VA facilities and 1 non-VA Health Care for the Homeless Program. Using Item Response Theory, we examined Test Information Function (TIF) curves to eliminate less informative items and devise plausibly distinct subscales.ResultsThe resulting 33-item instrument (Primary Care Quality-Homeless) has 4 subscales: Patient-Clinician Relationship (15 items), Cooperation among Clinicians (3 items), Access/Coordination (11 items), and Homeless-specific Needs (4 items). Evidence for divergent and convergent validity is provided. TIF graphs showed adequate informational value to permit inferences about groups for 3 subscales (Relationship, Cooperation, and Access/Coordination). The 3-item Cooperation subscale had lower informational value (TIF
- Subjects :
- Male
Primary Health Care
Psychometrics
patient satisfaction
homeless health care
homeless persons
item response theory
Homelessness
Professional-Patient Relations
Middle Aged
patient-centered care
patient-centered outcomes research
Good Health and Well Being
Clinical Research
Applied Economics
Surveys and Questionnaires
Ill-Housed Persons
Public Health and Health Services
Health Policy & Services
Humans
survey methodology
Female
Quality of Health Care
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Medical care, vol 52, iss 8
- Accession number :
- edsair.od.......325..614da9e7c5a149042c20cb7d281e8a14