TABLE 1.
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%) |