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. 2011 Dec;7(Spec Issue):94–107.

TABLE 1.

Summary of accessibility subscale content and distribution of item responses. (Detailed distribution available at http://www.longwoods.com/content/22635).

Subscale and Item Description Response Scale Range Missing Values Overall Modal Response Range Item Discriminability Comments on Distribution
PCAS Organizational Access (6 items)
Rate doctor's office for: Location, hours, usual wait for an appointment; usual wait at the clinic, ability to get through to the doctor's office or to speak to the doctor by phone
Likert evaluative, 1=very poor to 6=excellent 1%–6% 4 (good) 0.83 (office location) to 2.4 (speak to doctor by phone) Approximately 60% of responses in two most positive categories; lowest rating for “speak to doctor by phone”
PCAT–S First-Contact Utilization (3 items)
Likelihood of seeking care for routine or a new problem and the need for referral to see a specialist
Likert evaluative, 1=definitely not to 4=definitely 1%–2% (true missing) 0%–4% not sure 4 (definitely) 0.87 (referral) to 4.7 (first place to seek routine care) Over 65% of responses in the most positive category
PCAT–S First-Contact Access (4 items)
When clinic open: Likelihood of being seen same day; getting advice over the phone When clinic closed: Having a phone number to call; likelihood of being seen by doctor during the night
Likert evaluative, 1=definitely not to 4=definitely 2% (true missing) 6%–18% not sure variable, according to the item 1.06 (open) to 2.99 (phone number when closed) Item score in decreasing order; 16%–18% “not sure” when clinic closed; 40% can definitely not be seen at night
EUROPEP-I Organization of Care (7 items)
Rate care by GP: Preparation for what to expect from specialty care; helpfulness of staff; getting a suitable appointment; getting through to the practice over the phone; speaking to GP on the phone; waiting time in waiting room; getting quick services for urgent problems
Semantic differential rating, 1=poor, 5=excellent 4%–5% (true missing) 1%–13% (n/a) 5 (excellent) 1.55 (preparation for other care) to 2.86 (quick services) Lowest rating for “speak to GP on the phone.” Three items with “not applicable”: preparation for specialty care (12%), speak to GP on the phone (13%) and quick services (11%)