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. 2011 Dec;7(Spec Issue):47–65.

TABLE 3.

Number of items free from differential item functioning (discrimination or difficulty) within each validated subscale by language, geography and education

Developer's Subscale Name Number of Items without Differential Item Functioning
Language (Province) English/French Education Low/High Geography Urban/Rural
Accessibility
PCAS Organizational Access 4/6 (67%) 6/6 (100%) 5/6 (83%)
PCAT First-Contact Utilization 2/3 (67%) 3/3 (100%) 3/3 (100%)
PCAT First-Contact Accessibility 1/4 (25%) 3/4 (75%) 2/4 (50%)
EUROPEP Organization of Care 3/7 (43%) 7/7 (100%) 5/7 (71%)
Subtotal 10/20 (50%) 19/20 (95%) 15/20 (75%)
Comprehensiveness of Services
PCAT Comprehensiveness (services available) 2/4 (50%) 4/4 (100%) 4/4 (100%)
CPCI Comprehensive Care 3/6 (50%) 4/6 (67%) 6/6 (100%)
Subtotal 5/10 (50%) 8/10 (80%) 10/10 (100%)
Relational Continuity
PCAS Visit-Based Continuity 0/2 (0%) 0/2 (0%) 2/2 (100%)
PCAS Contextual Knowledge 3/5 (60%) 5/5 (100%) 4/5 (80%)
PCAT Ongoing Care 1/4 (25%) 4/4 (100%) 3/4 (75%)
CPCI Accumulated Knowledge 1/8 (13%) 4/8 (50%) 7/8 (88%)
CPCI Patient Preference for Regular Physician 2/5 (40%) 4/5 (80%) 4/5 (80%)
Subtotal 7/24 (29%) 17/24 (71%) 20/24 (83%)
Management Continuity
PCAS Integration 3/6 (50%) 5/6 (83%) 6/6 (100%)
PCAT Coordination 2/4 (50%) 4/4 (100%) 3/4 (75%)
CPCI Coordination of Care 3/8 (38%) 5/8 (63%) 6/8 (75%)
VANOCSS Coordination of Care (overall), number of problems 6/6 (100%) 6/6 (100%) 6/6 (100%)
VANOCSS Specialty Provider Access, number of problems 4/4 (100%) 4/4 (100%) 4/4 (100%)
Subtotal 18/28 (64%) 24/28 (86%) 25/28 (89%)
Interpersonal Communication
PCAS Communication 5/6 (83%) 5/6 (83%) 6/6 (100%)
PCAS Trust 1/8 (13%) 1/8 (13%) 8/8 (100%)
CPCI Interpersonal Communication 1/6 (17%) 2/6 (33%) 6/6 (100%)
EUROPEP Clinical Behaviour 10/16 (63%) 15/16 (94%) 16/16 (100%)
IPC-II Communication (elicited concerns, responded) 3/3 (100%) 0/3 (0%) 2/3 (67%)
IPC-II Communication (explained results, medications) 4/4 (100%) 2/4 (50%) 4/4 (100%)
IPC-II Decision-Making (patient-centred decision-making) 4/4 (100%) 3/4 (75%) 4/4 (100%)
Subtotal 28/47 (60%) 28/47 (60%) 46/47 (98%)
Respectfulness
PCAS Interpersonal Treatment 4/5 (80%) 0/5 (0%) 5/5 (100%)
IPC-II Hurried Communication 4/5 (80%) 5/5 (100%) 5/5 (100%)
IPC-II Interpersonal Style (compassionate, respectful) 1/5 (20%) 5/5 (100%) 5/5 (100%)
IPC-II Interpersonal Style (respectful office staff) 2/4 (50%) 2/4 (50%) 3/4 (75%)
Subtotal 11/19 (58%) 12/19 (63%) 18/19 (95%)
Whole-Person Care – Community Orientation
PCAT Community Orientation 1/3 (33%) 3/3 (100%) 3/3 (100%)
CPCI Community Context 0/2 (0%) 0/2 (0%) 2/2 (100%)
Subtotal 1/5 (20%) 3/5 (60%) 5/5 (100%)
Number of subscales with no differential item functioning 5/29 (17%) 12/29 (41%) 18/29 (62%)
Number of subscales where ≥50% of items exhibit differential functioning 12/29 (41%) 6/29 (21%) 0/29 (0%)