RT Journal Article SR Electronic T1 Measuring Primary Care Across 35 OECD Countries JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 547 OP 552 DO 10.1370/afm.2697 VO 19 IS 6 A1 Stephen J. Zyzanski A1 Martha M. Gonzalez A1 Jonathan P. O’Neal A1 Rebecca S. Etz A1 Sarah R. Reves A1 Kurt C. Stange YR 2021 UL http://www.annfammed.org/content/19/6/547.abstract AB PURPOSE To examine the psychometric properties and scores of the Person-Centered Primary Care Measure (PCPCM) in 28 languages and 35 Organisation for Economic Co-operation and Development (OECD) countries.METHODS Using a paid online sampling service, we requested age- and sex-representative samples of 360 adults in each country. We administered the Person-Centered Primary Care Measure—a previously validated 11-item, patient-reported measure that was developed using what patients and clinicians said is most important about primary care. We also assessed construct validity through associations with demographics, the Patient-Enablement Instrument, number of years the person had been with their primary care physician and practice, whether the patient thought the doctor knowing the results would improve their care, and whether it was hard to complete the survey. We assessed the psychometric properties of the PCPCM in each country and report the summative and item-specific PCPCM scores for each country.RESULTS The PCPCM exhibited solid psychometric properties across all languages and countries, with Cronbach’s alphas ranging from 0.88 to 0.95, and corrected item-total correlations ranging from 0.47 to 0.81, with the vast majority of countries ranging from the low 0.50s to the high 0.70s. Multiple analyses showed strong evidence of concurrent validity. With a potential range from a low of 1 to a high of 4, the overall mean score was 2.74, with a standard deviation of 0.19. Mean PCPCM scores ranged from the lowest in Sweden (2.28) to the highest in Turkey (3.08), with Germany ranking second (3.01), and the United States third (2.99).CONCLUSION The internal consistency and concurrent validity of the PCPCM across multiple countries provides strong evidence of the coherence of the breadth of primary care functions that patients and clinicians say are important. The diversity of total and item-specific scores across countries provokes interesting hypotheses about the influence of each different country’s policies, practices, demographics, and culture on primary care, and provides a strong impetus for further ecological and individual data analyses using the Person-Centered Primary Care Measure.Annals “Online First” article