PEDIATRICS Vol. 108 No. 2 August 2001, pp. 264-270
Parents' Perceptions of Primary Care: Measuring Parents' Experiences of Pediatric Primary Care Quality
Received Sep 28, 2000; accepted Dec 15, 2000.
,
From the * Center for Child Health Outcomes, Children's
Hospital and Health Center, San Diego, California; and Objective. A measure of
pediatric primary care quality that is brief, practical, reliable, and
valid would be useful to patients and pediatricians, policymakers, and
health system leaders. Parents have a unique perspective from which to
report their experiences with their child's primary care, and these
reports may be valid indicators of pediatric primary care quality. The
research objective was to develop a brief parent report of their
children's primary care, the Parent's Perceptions of Primary Care
measure (P3C), and to test its reliability and validity as a measure of
pediatric primary care quality.
Study Design. The P3C was based on the elements of primary
care as defined by the Institute of Medicine. Pretesting of domain
content and item clarity was accomplished via focus interviews. The P3C
was developed in English and translated to Spanish, Vietnamese, and Tagalog. The 23-item P3C yields a total score, as well as subscale scores for continuity, access, contextual knowledge, communication, comprehensiveness, and coordination. The P3C was administered to 3371 parents of children in kindergarten through sixth grades in a large,
urban school district.
Principal Findings. The percentage of missing values for
the overall sample was 1.88%, indicating acceptable feasibility. Range
of measurement, assessed via floor and ceiling effects, was moderate to
good. Cronbach's coefficient Conclusions. The P3C is a practical, reliable, and valid
measure of parents' reports of pediatric primary care quality. This
brief measure could be used alone, or in conjunction with other
measures, to enhance outcomes and evaluate the impact of systems
changes on the delivery of the main elements of primary
care.
Department of
Psychiatry, University of California San Diego School of Medicine, San
Diego, California.
, an indicator of scale internal
consistency reliability, was 0.95 for the P3C total scale. Factor
analysis supported the subscale structure, and P3C scores were higher
for children with health insurance, whose parents completed the survey in English, and who had a regular physician. P3C scores were positively related to parent reports of the child's health-related quality of
life.
CiteULike 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  M. Celano, M. D Klinnert, C. N. Holsey, and E. L McQuaid Validity of the Family Asthma Management System Scale with an Urban African-American Sample J. Pediatr. Psychol., September 23, 2009; (2009) jsp083v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. D. Krugman, L. Parra-Roide, W. L. Hobson, L. C. Garfunkel, and J. R. Serwint Spanish-Speaking Patients Perceive High Quality Care in Resident Continuity Practices: A CORNET Study Clinical Pediatrics, April 1, 2009; 48(3): 304 - 310. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Seid Barriers to Care and Primary Care for Vulnerable Children With Asthma Pediatrics, November 1, 2008; 122(5): 994 - 1002. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. D. Krugman, A. Racine, S. Dabrow, S. Sanguino, W. Meyer, M. Seid, and J. R. Serwint Measuring Primary Care of Children in Pediatric Resident Continuity Practices: A Continuity Research Network Study Pediatrics, August 1, 2007; 120(2): e262 - e271. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Jean and C. Cyr Use of Complementary and Alternative Medicine in a General Pediatric Clinic Pediatrics, July 1, 2007; 120(1): e138 - e141. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. Stevens, M. Seid, and N. Halfon Enrolling Vulnerable, Uninsured but Eligible Children in Public Health Insurance: Association With Health Status and Primary Care Access Pediatrics, April 1, 2006; 117(4): e751 - e759. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Zuckerman, G. D. Stevens, M. Inkelas, and N. Halfon Prevalence and Correlates of High-Quality Basic Pediatric Preventive Care Pediatrics, December 1, 2004; 114(6): 1522 - 1529. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. Sandler, C. Kennedy, and E. Shapiro Parental Grief and Palliative Care Require Attention Arch Pediatr Adolesc Med, June 1, 2004; 158(6): 590 - 591. [Full Text] [PDF]
|
|
|
|
 |
|
 G. D. Stevens and L. Shi Racial and Ethnic Disparities in the Primary Care Experiences of Children: A Review of the Literature Med Care Res Rev, March 1, 2003; 60(1): 3 - 30. [Abstract] [PDF]
|
|
