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Quality Measures Database

Detailed Results


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Use of quality of access rating scales Overall Rank: 119
Use of a standardized but brief scale (i.e., the Primary Care Assessment Tool (PCAT) access subscale) to measure access to primary health care.
Domain : Accessibility
Clients/patients are able to obtain care and services at the right place and the right time, based on their respective needs. Accessibility would include such things as waiting times, physician availability, geographical proximity, extended service hours, etc.
Additional Domain(s) : Acceptability, Continuity
Rationale
The Primary Care Assessment Tool (PCAT) instruments were developed by The Johns Hopkins Primary Care Policy Center for Underserved Populations were designed to measure the extent and quality of primary care services at a provider setting designated by consumers as their main source of general care and consistent with a focus on attributes of primary care that have
been demonstrated to produce better outcomes of care at lower costs.The PCAT access sub-scale measures the ability for urgent patients to access a provider/team who knows the patient in a timely and convenient manner. The scale also measures whether patients can obtain information or care from their regular provider/team for urgent problems occurring during office hours, outside office hours, and on weekends.
Primary Reference
Shi, Leiyu DrPH, MBA; Starfield, Barbara MD, MPH; Xu, Jiahong MPH, MS
Journal of Family Practice. 50(2):161, February 2001
Level of Evidence
V: Validated scale: Research has been conducted to determine it has at least some properties associated with a high quality scale

Summarized CommentsAdd Comment
  • This tool allows an estimate of lack of capacity to satisfy consumer demand for services
  • I was impresssed when reading the accompanying literature re: this tool; Hours practice is open etc. are actionable
  • Use of the tool is actionable, but use of an assessment tool will only diagnose an access issue, not resolve it.
  • This needs to be given to the practice population not to those in the office because access problem is a major for those without a PHC provider
Variation in Results
Ratings-based Rank
Relevance 118
Actionability 114
Overall Importance 122
 
Stakeholder Rank
Academics 116
Clinicians 132
Consumers 121
Decision Makers 102
 
Special Group Rank
First Nations 152
Rural Areas 141
Federal Stakeholders 109
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
122 81 134 89 141 98 84 113 123 133 157 74 105
 
Overall Rank

      

119


SW01a (H314)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0.43 1.8 0.54 1.5 8.25 16.95 42.8 20.23 7.5
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0.43 0.54 0.73 4.03 9.32 19.83 39.47 20.74 4.92
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
8.5 66.47 25.03
3 2 1

3 = can live without
2 = nice to have
1 = indispensable
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