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BioMed Research International
Volume 2014 (2014), Article ID 308739, 7 pages
Research Article

Development and Validation of the Tibetan Primary Care Assessment Tool

1Center for Health Management and Policy, Shandong University, 44 Wenhuaxilu, Jinan, Shandong 250012, China
2Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Primary Care Policy Center, 624 North Broadway, Baltimore, MD 21205, USA
3Tibet Health Capacity Building Program, No. 2 Norbulinka South Road, Lhasa, Tibet 850000, China
4School of Management, Australian School of Business, University of New South Wales, Sydney, NSW 2052, Australia
5Guangdong Research Institute for International Strategies, Guangdong University of Foreign Studies, No. 2 Baiyun Dadao Bei, Guangzhou, Guangdong 510420, China
6Tianjin Normal University, 57-1 Wujiayao Road, Hexi District, Tianjin 300074, China
7Faculty of Business and Law, University of Newcastle, Newcastle, NSW 2308, Australia

Received 6 February 2014; Accepted 8 May 2014; Published 21 May 2014

Academic Editor: Beatriz Gonzalez López-Valcárcel

Copyright © 2014 Wenhua Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To develop a primary care assessment tool in Tibetan area and assess the primary care quality among different healthcare settings. Methods. Primary care assessment tool-Tibetan version (PCAT-T) was developed to measure seven primary care domains. Data from a cross-sectional survey of 1386 patients was used to conduct validity and reliability analysis of PCAT-T. Analysis of variance was used to conduct comparison of primary care quality among different healthcare settings. Results. A 28-item PCAT-T was constructed which included seven multi-item scales and two single-item scales. All of multi-item scales achieved good internal consistency and item-total correlations. Scaling assumptions tests were well satisfied. The full range of possible scores was observed for all scales, except first contact and continuity. Compared with prefecture hospital (77.42) and county hospital (82.01), township health center achieved highest primary care quality total score (86.64). Conclusions. PCAT-T is a valid and reliable tool to measure patients' experience of primary care in the Tibet Autonomous Region. Township health center has the best primary care performance compared with other healthcare settings, and township health center should play a key role in providing primary care in Tibet.