Adaptation and cross-cultural validation of the United States Primary Care Assessment Tool (expanded version) for use in South Africa.

摘要: Background: Measuring primary care is important for health sector reform. The Primary Care Assessment Tool (PCAT) measures performance of elements essential cost-effective care. Following minor adaptations prior to use in Cape Town 2011, a few findings indicated need improve the contentand cross-cultural validity wider South Africa (SA). Aim: This study aimed validate United States America-developed PCAT before being used baseline measure major Setting: Public clinics, users, practitioners and managers urban rural districtsin Western Province. Methods: Face value evaluation item phrasing combination Delphi Nominal Group Technique (NGT) methods with an expert panel user focus group were obtain consensus on content relevant SA. Original new domains items > = 70% agreement included African version – ZA PCAT. Results: All original achieved inclusion. One domain, healthcare (PHC) team, was added. Three 95 < agreement, that exclude as not SA; 19 A needed rephrasing local jargon. demographic section adapted socio-economic conditions. adult translated into isiXhosa Afrikaans. Conclusion: valid PHC team domainis addition, given its emphasis re-engineering. NGT succeeded obtaining multi-domain, multi-item instrument resource-constrained environment.