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来源类型Publication
Development and Validation of the Modified Patient-Centered Medical Home Assessment for the Comprehensive Primary Care Initiative
Dmitriy Poznyak; Deborah N. Peikes; Breanna A. Wakar; Randall S. Brown; and Robert J. Reid
发表日期2018-04-01
出版者Health Services Research, vol. 53, no. 2
出版年2018
语种英语
概述To describe the modified Patient-Centered Medical Home Assessment (M-PCMH-A) survey module developed to track primary care practices’ care delivery approaches over time, assess whether its underlying factor structure is reliable, and produce factor scores that provide a more reliable summary measure of the practice\u0027s care delivery than would a simple average of question responses.\n",
摘要

Objective. To describe the modified Patient-Centered Medical Home Assessment (M-PCMH-A) survey module developed to track primary care practices’ care delivery approaches over time, assess whether its underlying factor structure is reliable, and produce factor scores that provide a more reliable summary measure of the practice's care delivery than would a simple average of question responses.

Principal Findings. Confirmatory factor analysis suggested using seven factors (splitting one domain into two), reassigning two questions to different domain factors, and removing one question, resulting in high reliability, construct validity, and stability in all but one factor. The seven factors together formed a single higher-order factor summary measure. Factor scores guard against potential biases from equal weighting.

Conclusions. The M-PCMH-A can validly and reliably track primary care delivery across practices and over time using factors representing seven key components of care as well as an overall score. Researchers should calculate factor loadings for their specific data if possible, but average scores may be suitable if they cannot use factor analysis due to resource or sample constraints.

URLhttps://www.mathematica.org/our-publications-and-findings/publications/development-and-validation-of-the-modified-patient-centered-medical-home-assessment
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/489204
推荐引用方式
GB/T 7714
Dmitriy Poznyak,Deborah N. Peikes,Breanna A. Wakar,et al. Development and Validation of the Modified Patient-Centered Medical Home Assessment for the Comprehensive Primary Care Initiative. 2018.
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