Psychometric evaluation of the primary health-care satisfaction scale in Turkish women

Abstract

This paper reports an adaptation of the English version of the primary health-care satisfaction scale for use with Turkish women and an evaluation of its psychometric properties. A psychometric study. A convenience sample of 381 women at a primary health-care centre completed a structured questionnaire including demographic characteristics and the primary health-care satisfaction scale for women in 2008. Item analysis, principal components analysis, internal consistency reliability and Cronbach's alpha were used to measure the psychometric properties of the items of the scale. In the assessment of construct validity, three factors were identified with a: (1) administration and office procedures, (2) communication, (3) care coordination and comprehensiveness. These factors together explained 54.8% of the total variance. Internal reliability coefficients of these three factor-based scales were 0.80 and 0.93, respectively. The present study provides evidence of the primary health-care satisfaction scale's validity, reliability and acceptability. This scale should be further evaluated with a larger representative sample of women seeking primary care in Turkey and diverse populations of the world. The scale has potential applications for use in research. The scale may be used both in studies to evaluative alternative models of primary care delivery for women and in quality improvement programs in women's primary care.