Development and validation of a Malawian version of the primary care assessment tool

摘要: Malawi does not have validated tools for assessing primary care performance from patients’ experience. The aim of this study was to develop a Malawian version Primary Care Assessment Tool (PCAT-Mw) and evaluate its reliability validity in the assessment core dimensions adult perspective Malawi. A team experts assessed South African tool (ZA-PCAT) face content validity. adapted questionnaire underwent forward backward translation pilot study. then used an interviewer administered cross-sectional survey Neno district, Malawi, test reliability. Exploratory factor analysis performed on random half sample internal consistency, construct items scales. identified constructs were tested with confirmatory analysis. Likert scale assumption testing descriptive statistics done final structure. PCAT-Mw further intra-rater inter-rater From responses 631 patients, 29-item constructed comprising seven multi-item scales, representing five (first contact, continuity, comprehensiveness, coordination community orientation). All scales achieved good item-total correlations Cronbach’s alpha coefficient ranged 0.66 0.91. satisfactory goodness fit model (GFI = 0.90, CFI = 0.91, RMSEA = 0.05, PCLOSE = 0.65). full range possible scores observed all Scaling assumptions tests except two comprehensiveness Intra-class correlation (ICC) 0.90 (n = 44, 95% CI 0.81–0.94, p < 0.001) 0.84 (n = 42, 0.71–0.96, Comprehensive metric analyses supported concepts This could be health service research