TABLE 5.
Reported and observed internal consistency (Cronbach alpha) and factor resolution by instrument, showing observed factors with eigenvalue >1 and factor solution when constrained to expected number
| Instrument and Subscale (number items) | Mapped Attributes | Reported Alpha | Observed Alpha | Solution of Expected Number of Factors (eigen) Subscales |
|---|---|---|---|---|
| Primary Care Assessment Survey (PCAS) | Expected=6, Observed=4 (n=377) | |||
| Organizational Access (6) | Accessibility | .84 | .83 | (17.45) Communication + Interpersonal Treatment |
| Visit-Based Continuity (2) | Relational Continuity | — | .69 | (1.98) Contextual Knowledge |
| Contextual Knowledge (5) | Relational Continuity | .92 | .91 | (1.48) Integration |
| Communication (6) | Interpersonal Communication | .95 | .96 | (1.06) Organizational Access |
| Trust (8) | Interpersonal Communication | .86 | .88 | (0.90) 4/8 Trust |
| Interpersonal Treatment (5) | Respectfulness | .95 | .96 | (0.65) 4/8 Trust |
| Integration (6) | Management Continuity | .92 | .93 | (0.51) Visit-based continuity |
| Primary Care Assessment Tool (PCAT) | Expected=6, Proposed=3 (n=470) | |||
| First-Contact Utilization (3) | Accessibility / Comprehensiveness | TBD | .68 | (5.01) Coordination |
| First-Contact Access | Accessibility | .72 | (1.40) 3/4 Ongoing Care | |
| Comprehensiveness (services available) (4) | Comprehensiveness of Services | .72 | (0.86) Comprehensive Services | |
| Ongoing Care (4) | Relational Continuity | .73 | (0.63) 2/4 First-Contact Access + 1/4 Ongoing Care (telephone) | |
| Coordination (4) | Management Continuity | .76 | (0.51) Community Orientation + 2/4 First-Contact Access | |
| Community Orientation (3) | Whole-Person Care | .65 | (0.40) First-Contact Utilization | |
| Components of Primary Care Instrument (CPCI) | Expected=6, Proposed=3 (N=487) | |||
| Comprehensive Care (6) | Comprehensiveness of Services | .79 | .83 | (13.75) Community Context + 6/8 Coordination + 1/5 Preference |
| Accumulated Knowledge (8) | Relational Continuity | .88 | .91 | (1.29) 7/8 Accumulated Knowledge + 1/6 Communication |
| Preference for Regular Physician (5) | Relational Continuity | .71 | .68 | (1.15) 5/6 Comprehensive |
| Interpersonal Communication (6) | Interpersonal Communication | .75 | .83 | (0.93) 5/6 Communication |
| Coordination of Care (8) | Management Continuity | .92 | .74 | (0.85) 4/5 Preference + 1/8 Coordination |
| Community Context (2) | Whole-Person Care | — | .82 | (0.51) 2/8 Coordination |
| EUROPEP | Expected=2, Proposed=2 (n=355) | |||
| Organization of Care (7) | Accessibility | .87 | .89 | (13.62) Clinical Behaviour |
| Clinical Behaviour (16) | Interpersonal Communication | .96 | .97 | (1.56) Organization of Care |
| Interpersonal Processes of Care (IPC-II) | Expected=6, Proposed=3 (n=536) | |||
| Elicit Concerns, Respond (3) | Interpersonal Communication | .80 | .86 | (11.92) Compassionate + (3/5) Non-Hurried, Attentive |
| Explain Results, Medications (4) | Interpersonal Communication | .81 | .88 | (2.61) Decision-Making |
| Decision-Making (4) | Interpersonal Communication | .75 | .91 | (1.36) Respectful Office Staff |
| Non-Hurried, Attentive (5) | Respectfulness | .65 | .95 | (0.79) Explain Results |
| Compassionate, Respectful (5) | Respectfulness | .71 | .95 | (0.57) Non-Hurried, Attentive (3/5 load equally with factor 1) |
| Respectful Office Staff (5) | Respectfulness | .90 | .93 | (0.39) Elicit Concerns |
| Veterans Affairs Outpatient Community Services Survey | NB: Dichotomous scoring of items, factor analysis not applicable | |||
| Management Continuity (6) | Overall Coordination of Care | NA | ||
| Management Continuity (4) | Specialty Provider Access | NA |