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- Title
Development and Validation of a Short-Form Safety Net Medical Home Scale.
- Authors
Nocon, Robert S; Gunter, Kathryn E; Gao, Yue; Lee, Sang Mee; Chin, Marshall H
- Abstract
<bold>Objective: </bold>To develop a short-form Safety Net Medical Home Scale (SNMHS) for assessing patient-centered medical home (PCMH) capability in safety net clinics.<bold>Data Sources/study Setting: </bold>National surveys of federally qualified health centers (FQHCs). Interviews with FQHC directors.<bold>Study Design: </bold>We constructed three short-form SNMHS versions and examined correlations with full SNMHS and related primary care assessments. We tested usability with FQHC directors and reviewed scale development with an advisory group.<bold>Data Collection: </bold>Federally qualified health center surveys were administered in 2009 and 2013, by mail and online. Usability testing was conducted through telephone interviews with FQHC directors in 2013.<bold>Principal Findings: </bold>Six-, 12-, and 18-question short-form SNMHS versions had Pearson correlations with full scale of 0.84, 0.92, and 0.96, respectively. All versions showed a level of convergent validity with other primary care assessment scales comparable to the full SNMHS. User testers found short forms to be low-burden, though missing some PCMH concepts. Advisory group members expressed caution over missing concepts and appropriate use of short-form self-assessments.<bold>Conclusions: </bold>Short-form versions of SNMHS showed strong correlations with full scale and may be useful for brief assessment of safety net PCMH capability. Each short-form SNMHS version may be appropriate for different research, quality improvement, and assessment purposes.
- Publication
Health Services Research, 2017, Vol 52, Issue 6, pN.PAG
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.12809