Akademik Veri Yönetim Sistemi
Turkish Journal of Family Medicine and Primary Care, cilt.16, sa.2, ss.286-293, 2022 (Hakemli Dergi)
Background: Patient-centeredness is one of the components of high-quality care and accepted as one of the core competencies of family medicine. The positive effect of patient-centered care on health outcomes reveals itself mainly through the patient's perception of patient-centeredness, which can be measured by the Patient Perception of Patient-Centeredness (PPPC) scale. Aims: To evaluate Turkish validity and reliability of the 18-item 'patient perception of patient-centeredness' scale (PPPC-R) developed by Stewart et al. Study Design: Methodological study. Methods: The translation of the scale was performed by three researchers with the help of 10 family medicine academicians as well as the main developers of the original scale. The Turkish form of the scale, along with the Patient-Physician Relationship summary dimension of the Primary Care Assessment Scale (PCAS) and the Patient-Doctor Relationship Questionnaire (PDRQ), was applied to 339 primary care patients. Results: The original 3-factor model of the revised Patient Perception of Patient-Centeredness (PPPC-R) questionnaire was tested with a Confirmatory Factor Analysis (CFA) to determine if the factor structure of the PPPC-R cross-validates in a Turkish patient population. The fit indices regarding the three-dimensional structure of PPPC-R are within the good or acceptable limits. The standardized factor loadings of the PPPC-R scale items ranged from 0.52 to 0.81 and t values were significant. Cronbach alpha of the scale was 0.903. With respect to criterion, the validity scale showed a negative correlation with both PCAS and PDRQ as expected. Conclusion: The three-dimensional structure of the scale was confirmed with CFA. During this verification, one item did not work and the factor load was considered to be low and removed from the scale. Turkish version of PPPC-R is a scale that can be used to evaluate patients' perception of patient-centeredness.