The revised Patient Perception of Patient‐Centeredness Questionnaire: Exploring the factor structure in French‐speaking patients with multimorbidity

Abstract

Background The Patient Perception of Patient‐Centeredness (PPPC) questionnaire was revised, and there is a need for the questionnaire to be tested in diverse primary care populations. Objectives This study aimed to examine the factor structure of the Revised PPPC questionnaire (PPPC‐R) in French‐speaking patients with multimorbidity. Design Secondary analysis from baseline data of the French arm of Patient‐Centered Innovations for Persons with Multimorbidity Study (PACEinMM Study). Setting and participants Participants were adult patients with multimorbidity attending primary health‐care settings. Outcome measures Exploratory factor analyses were applied to examine the factor structure of the PPPC‐R. Cronbach's alpha values were calculated to assess the internal consistency of the whole questionnaire and of each factor explored. Results There were 301 participants, mean age 61.0, 53.2% female. The PPPC‐R showed very good internal consistency, with three factors: Patient‐Centered Clinical Method (PCCM) Component 1‐Exploring the health, disease and illness experience + PCCM Component 4‐Enhancing the patient–clinician relationship (Factor 1); PCCM Component 2‐Understanding the whole person (Factor 2); and PCCM Component 3‐Finding common ground (Factor 3). There was a good internal consistency within each factor (Cronbach's α = 0.87 for 8 items in Factor 1, 0.77 for 5 items in Factor 2 and 0.87 for 5 items in Factor 3). Discussion and conclusions The French PPPC‐R factor structure was in accordance with the underpinning conceptual model and presented with three factors. Further assessment of its validity and reproducibility are needed to allow its use as a measure of patient's perception of patient‐centeredness.

Contextualizing the Revised Patient Perception of Patient-Centeredness (PPPC-R) Scale in Primary Healthcare settings: a Validity and Reliability Evaluation Study

“…Compared with the results from Ryan et al, [9] F1 in our results contained most items under the component of "health, disease, and the illness experience", except item 11, which is item 8 in the 18-item PPPC-R scale. Other items stayed consistent with the results from Ryan et al Our results also aligned with ndings from testing the 18-item scale used by Nguyen et al [4] in the primarily Francophone areas in Canada. From patients' perspective, components 1 and 2 (exploring health, disease, and the illness experience; understanding the whole person) may be closely related and necessary during appointments with physicians, and learning the causes and development of diseases is a mandatory procedure.…”

“…[1] The quality of patient-centered care improvement has been associated with various positive health system outcomes, such as effectively enhanced patient satisfaction, improved health-related outcomes(e.g., improvement of symptoms), reduced avoidable referrals, and diagnostic costs. [2][3][4][5][6] If the provider bridges the gap between clinical quality and patient perception, it could improve medical utilization and clinical quality. [7] Mohammed's systematic review found that patients can perceive ten domains of patient-centered care quality (communication, access, shared decision making, provider knowledge and skills, physical environment, patient education, electronic medical record, pain control, discharge process, and preventive services).…”

Multimorbidity patterns among COVID-19 deaths: proposal for the construction of etiological models

“…Similar experiences were found with the Patient-Centered Clinical Method (PCCM) questionnaire in Canada, where the complexity of multimorbidity and associated factors can be comparable. 30 There are even other analyses comparing ways of approaching multimorbidity, which suggests that hierarchical cluster analysis shows comorbidity, while exploratory factor analysis multimorbidity. 31 Subsequent analyses can use this approach to build scales of risk of death and complications.…”

Hastanın Hasta Merkezlilik Algısı Ölçeği Türkçe Geçerlik Güvenilirlik Çalışması

“…Our participants are younger and more educated than the participants of other studies examining the factor structure of the scale. 11,18 Due to their age, our population probably was considerably different with respect to health problem profile and consequent primary care use, especially from the study examined French version in which the item had the highest factor load. For young and educated people who have few health problems and probably use primary care seldomly, the physicians' knowledge of their family life may be meaningless in the context of receiving health care.…”