Development and validation of a concise scale for assessing patient experience of primary care for adults in Japan.


BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care and to examine its validity and reliability. METHODS:We conducted a cross-sectional survey in a primary care practice-based research network in Japan (25 primary care facilities). We evaluated the structural validity, criterion-related validity, convergent validity and the internal consistency reliability of the scale. RESULTS:Data were analysed for 1725 primary care outpatients. A 13-item scale was constructed, and the confirmatory factor analysis showed excellent goodness of fit of the six-factor model (first contact, longitudinality, coordination, comprehensiveness (services available), comprehensiveness (services provided) and community orientation). Pearson correlation coefficients between the total score and the overall rating of care and the original scale total score were 0.43 and 0.94, respectively. The total score was positively associated with influenza and pneumococcal vaccination (P < 0.001; P = 0.009 for trend). All of the multi-item scales achieved good internal consistency and the overall Cronbach's alpha was 0.77. CONCLUSIONS:We developed a concise patient experience scale, which comprises six domains measuring primary care attributes and evaluated its validity and reliability. This scale can be used as a rapid assessment tool reducing the burden of respondents and provide effective information for further quality improvement and practice-based research in the Japanese primary care settings.


Fam Pract


Family practice


Aoki T,Fukuhara S,Yamamoto Y




Has Abstract


2020-02-19 00:00:00














  • Comparison of health care utilization among users of public and private community health centres in urban China.

    abstract:BACKGROUND:In China, the government has encouraged the participation of private sector facilities in primary care to improve health care quality. OBJECTIVE:We compare health care utilization patterns among patients who select private versus public community health centres (CHCs) for reimbursed outpatient services. ME...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Shen M,He W,Li L,Wu Y

    更新日期:2020-11-28 00:00:00

  • Obstacles to shared care for patients with dementia: a qualitative study.

    abstract:BACKGROUND:All Primary Care Trusts in England were meant to have shared care protocols for antidementia medication use in place by 1 April 2004. Shared care of medical treatment in dementia depends upon early diagnosis, but under-recognition of and under-response to dementia appear widespread in general practice. AIM:...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Iliffe S,Wilcock J,Haworth D

    更新日期:2006-06-01 00:00:00

  • Management of urinary tract infections in female general practice patients.

    abstract:BACKGROUND:Though guidelines for the management of urinary tract infections (UTI) exist in several European countries, little is known about GPs' adherence, and the appropriateness of their management with regard to antibiotic resistance. OBJECTIVES:To describe German GPs' management of female patients with symptoms o...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Hummers-Pradier E,Ohse AM,Koch M,Heizmann WR,Kochen MM

    更新日期:2005-02-01 00:00:00

  • A brief case-finding questionnaire for common mental disorders: the CMDQ.

    abstract:OBJECTIVES:The aim of the study was to validate a new case-finding instrument for common mental disorders (CMDQ). METHODS:A cross-sectional, stratified, two-phase study was carried out in 28 general practices in Aarhus County, Denmark. 1785 consecutive patients, 18-65 years old, consulting 38 GPs with a new health pro...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Christensen KS,Fink P,Toft T,Frostholm L,Ornbøl E,Olesen F

    更新日期:2005-08-01 00:00:00

  • Who gets mental health treatment from the GP? Results from the Israel National Epidemiological Mental Health Survey.

    abstract:BACKGROUND:In view of the pending mental health (MH) reform, an increase in demand of MH services is expected. Primary care physicians will presumably be involved in meeting this expected increased demand. OBJECTIVES:To identify the preferable route of service use of populations with MH problems based on data from the...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Lerner Y,Levinson D

    更新日期:2012-10-01 00:00:00

  • Error and safety in primary care: no clear boundaries.

    abstract::This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...

    journal_title:Family practice

    pub_type: 杂志文章,评审


    authors: Jacobson L,Elwyn G,Robling M,Jones RT

    更新日期:2003-06-01 00:00:00

  • Research trials in general practice: towards a focus on clinical practice.

    abstract::With current moves towards an emphasis on the 'whole' patient rather than fragmenting the person into organ systems research methods need to be developed which reflect that emphasis and direct us in our endeavour as clinicians. It is possible to have a descriptive science of human behaviour which can be based upon cli...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章,评审


    authors: Aldridge D,Pietroni P

    更新日期:1987-12-01 00:00:00

  • Promoting influenza vaccination of elderly patients in primary care.

    abstract:BACKGROUND:Though influenza is a serious health problem for elderly people, their influenza vaccination rate remains low in Switzerland. OBJECTIVE:Our aim was to assess the impact of an intervention combining multiple strategies to promote influenza vaccination of elderly patients in primary care. METHODS:We conducte...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Humair JP,Buchs CR,Stalder H

    更新日期:2002-08-01 00:00:00

  • Consulting room computers and their effect on general practitioner-patient communication.

    abstract:BACKGROUND:in the western medical world, computers form part of the standard equipment in the consulting rooms of most GPs. As the use of a computer requires time and attention from GPs, this may well interfere with the communication process. Yet, the information accessed on the computer may also enhance communication....

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    pub_type: 杂志文章


    authors: Noordman J,Verhaak P,van Beljouw I,van Dulmen S

    更新日期:2010-12-01 00:00:00

  • Psychiatrists in primary care: the general practitioner viewpoint.

    abstract::Within the past few decades, a growing number of psychiatrists in the UK have moved their outpatient clinics out of their hospital bases and have established liaison-attachment clinics in primary care settings within their catchment areas. This study reports the views of the senior general practitioners who have acces...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Strathdee G

    更新日期:1988-06-01 00:00:00

  • The effects of patient-centered depression care on patient satisfaction and depression remission.

    abstract:BACKGROUND:While health systems are striving for patient-centered care, they have little evidence to guide them on how to engage patients in their care, or how this may affect patient experiences and outcomes. OBJECTIVE:To explore which specific patient-centered aspects of care were best associated with depression imp...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Rossom RC,Solberg LI,Vazquez-Benitez G,Crain AL,Beck A,Whitebird R,Glasgow RE

    更新日期:2016-12-01 00:00:00

  • A local consensus process making use of focus groups to enhance the implementation of a national integrated health care standard on obesity care.

    abstract:BACKGROUND:Recent guidelines on obesity management promote integrated care. There is little knowledge about local opportunities and barriers, faced by health care professionals and patients, that affect implementation of an integrated national health care standard in a local setting. Our aim is to understand experience...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Derksen RE,Brink-Melis WJ,Westerman MJ,Dam JJ,Seidell JC,Visscher TL

    更新日期:2012-04-01 00:00:00

  • The incidence and characteristics of end-of-life decisions by GPs in Belgium.

    abstract:BACKGROUND:Medical end-of-life decisions (ELDs) have been discussed for several years in different countries, but little is known about the involvement of GPs in these ELDs. OBJECTIVES:The aim of the present study was to establish the incidence and characteristics of ELDs by GPs. METHOD:We selected 3999 deaths, a 20%...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Bilsen J,Stichele RV,Mortier F,Bernheim J,Deliens L

    更新日期:2004-06-01 00:00:00

  • Aspirin after myocardial infarction: the importance of over-the-counter use.

    abstract:BACKGROUND:Regular aspirin is beneficial after myocardial infarction (MI). Community-based surveys appear to show unsatisfactory uptake of aspirin after MI. This could be due to over-the-counter (OTC) use not being recorded. In a pilot study in one practice, 39% of patients on aspirin after MI used OTC preparations. In...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究


    authors: Hopper S,Pierce M

    更新日期:1998-04-01 00:00:00

  • The effectiveness of local adaptation of nationally produced clinical practice guidelines.

    abstract:BACKGROUND:Local adaptation is often reported in the literature to be an important strategy in achieving local ownership and relevance of guidelines in order to increase the likelihood of their uptake and implementation. However, the process is also potentially time-consuming and costly. OBJECTIVE:The aim of this stud...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Silagy CA,Weller DP,Lapsley H,Middleton P,Shelby-James T,Fazekas B

    更新日期:2002-06-01 00:00:00

  • Paired interviews of shared experiences around chronic low back pain: classic mismatch between patients and their doctors.

    abstract:BACKGROUND:current treatments for chronic low back pain (LBP) appear to be inadequate and there are growing calls for new approaches. This study explores the paired interviews of shared experiences among chronic LBP patients and their physicians with the ultimate goal of improving doctor-patient communication and clini...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Allegretti A,Borkan J,Reis S,Griffiths F

    更新日期:2010-12-01 00:00:00

  • Family practitioners' attitudes and knowledge about irritable bowel syndrome: effect of a trial of physician education.

    abstract:BACKGROUND:Primary physicians care for most patients with irritable bowel syndrome (IBS), but data on their attitudes and knowledge about the disorder are limited to research in the UK. OBJECTIVE:The purpose of the present study was to assess US family practitioners' attitudes and knowledge about IBS and determine the...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Longstreth GF,Burchette RJ

    更新日期:2003-12-01 00:00:00

  • Impact of day care on dementia patients--costs, well-being and relatives' views.

    abstract::Forty-seven patients in psychogeriatric day centre were analysed regarding use of resources, costs and well-being. The level of well-being was based on interviews with staff and relatives and related to the economic outcome--a cost utility analysis. A 6 month period prior to day care was compared with the first 6 mont...

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    pub_type: 杂志文章


    authors: Wimo A,Wallin JO,Lundgren K,Rönnbäck E,Asplund K,Mattsson B,Krakau I

    更新日期:1990-12-01 00:00:00

  • Knowledge, opinions and attitudes of primary care physicians about generic drugs: a cross-sectional study.

    abstract:BACKGROUND:Generic drug (GD) use is affected by many factors, including physicians' approach. OBJECTIVE:This study aimed to investigate the knowledge, opinions and attitudes of primary care physicians (PCPs) about GDs and potentially associated factors. METHODS:An adequately representative sample (n = 354) of PCPs wa...

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    authors: Oncu S,Bayram D,Aydin V,Isli F,Aksoy M,Akici A,Ucku R,Gelal A

    更新日期:2020-12-19 00:00:00

  • A score for assessing the risk of first-time adolescent pregnancy.

    abstract:BACKGROUND:Adolescent pregnancy is an important health issue. Prevention programs are usually aimed at the prevention of repeat pregnancy, ignoring the adolescents at risk of becoming pregnant for the first time. OBJECTIVES:To analyse if socio-economic status, family type and mother's age at first pregnancy are risk f...

    journal_title:Family practice

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    authors: Santos MI,Rosário F

    更新日期:2011-10-01 00:00:00

  • European primary care surveillance networks: their structure and operation.

    abstract:BACKGROUND:In many European countries, primary care surveillance networks play a role in public health surveillance. OBJECTIVES:To update an inventory of surveillance networks, to describe them and to report on their organization and function in a standardized way. To investigate whether and under what conditions thei...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Deckers JG,Paget WJ,Schellevis FG,Fleming DM

    更新日期:2006-04-01 00:00:00

  • Mapping primary health care renewal in South America.

    abstract:BACKGROUND:Primary health care (PHC) renewal processes are currently ongoing in South America (SA), but their characteristics have not been systematically described. OBJECTIVE:The study aimed to describe and contrast the PHC approaches being implemented in SA to provide knowledge of current conceptions, models and cha...

    journal_title:Family practice

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    authors: Acosta Ramírez N,Giovanella L,Vega Romero R,Tejerina Silva H,de Almeida PF,Ríos G,Goede H,Oliveira S

    更新日期:2016-06-01 00:00:00

  • Attitudes towards care of the dying: a questionnaire survey of general practice attenders.

    abstract::In order to determine the views of General Practice attenders on death and dying, a survey was conducted using a questionnaire with nine questions on aspects of death and dying. There were 4117 respondents with an average age of 36.4 years, who attended 10 general practices. A control group of 100 patients was employe...

    journal_title:Family practice

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    authors: Charlton RC

    更新日期:1991-12-01 00:00:00

  • Logistic support service improves processes and outcomes of diabetes care in general practice.

    abstract:BACKGROUND:Guidelines for type 2 diabetes care in general practice are well known and accepted, but the implementation falls short. OBJECTIVE:To implement these guidelines by introducing a diabetes support service (DSS) to support the care delivered by the GP. METHODS:A controlled, non-randomised study with delayed i...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章


    authors: Meulepas MA,Braspenning JC,de Grauw WJ,Lucas AE,Harms L,Akkermans RP,Grol RP

    更新日期:2007-02-01 00:00:00

  • Diagnostic performance and clinical feasibility of a point-of-care test for respiratory viral infections in primary health care.

    abstract:Background:Inappropriately high levels of antibiotics are still prescribed in primary health care for respiratory tract infections (RTIs). Access to diagnostic point-of-care tests (POCTs) for RTIs might reduce this over-prescription. Objective:The purpose of our study was to determine the diagnostic performance and cl...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Bruning AHL,de Kruijf WB,van Weert HCPM,Willems WLM,de Jong MD,Pajkrt D,Wolthers KC

    更新日期:2017-09-01 00:00:00

  • Making the best of breast feeding.

    abstract::The practice of breast feeding has declined throughout the world, at first in the developed countries and now also in the developing countries. Although there is some return to breast feeding in industrialized countries, it is mostly by the privileged and better educated women. This article discusses the importance of...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Cutting WA,Ludlam M

    更新日期:1984-06-01 00:00:00

  • Health and the Internet--changing boundaries in primary care.

    abstract:BACKGROUND:Little is known about the frequency with which information from the Internet is presented by patients within primary care consultations or the subsequent impact that it may have on those consultations. OBJECTIVES:The aims of this study were to describe the frequency with which Internet information was prese...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Malone M,Harris R,Hooker R,Tucker T,Tanna N,Honnor S

    更新日期:2004-04-01 00:00:00

  • The impact of a mass communications campaign on the reported management of asthma by general practitioners.

    abstract::There have been recent campaigns in many countries to address the increasing morbidity and mortality of asthma by promoting better management. This study aimed to evaluate the National Asthma Campaign (NAC), in Australia, and to assess the extent of its impact on reported asthma management. It was a cross-sectional, b...

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Tse M,Bridges-Webb C,Bauman A

    更新日期:1993-09-01 00:00:00

  • Criteria, performance and diagnostic problems in diagnosing acute otitis media.

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    journal_title:Family practice

    pub_type: 杂志文章,多中心研究


    authors: Jensen PM,Lous J

    更新日期:1999-06-01 00:00:00

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    abstract:BACKGROUND:In the UK, general practitioners (GPs) are the most commonly used providers of care for emotional concerns. OBJECTIVE:To update and synthesize literature on barriers and facilitators to GP-patient communication about emotional concerns in UK primary care. DESIGN:Systematic review and qualitative synthesis....

    journal_title:Family practice

    pub_type: 杂志文章


    authors: Parker D,Byng R,Dickens C,Kinsey D,McCabe R

    更新日期:2020-09-05 00:00:00