Challenges in Implementation of the Primary Care Assessment Tool (PCAT) in Vietnam (Kristin Shaw MPH)

On completion of this presentation, participants should be able to: ? Describe the goals and objectives of the PCAT study ? Explain the challenges of the PCAT study implementation in low-resource settings ? Apply lessons learned to future research studies In an effort to assess and assure the quality of primary care delivery, a series of Primary Care Assessment Tools (PCAT) was developed by Barbara Starfield at John Hopkins University. The purpose of the PCAT study is to collect information that will be used to develop policies and programs to improve the current system of primary health care. The tools assess 7 principles of primary care: first contact care, ongoing care, coordinated care, comprehensive care, family centered care, community oriented care, and culturally competent care. Although the PCAT tools had previously been used in the US, Canada, Brazil, Spain, South Korea, and China, our Boston University team partnered with Hue University in Vietnam to expand and adapt the survey in Vietnam. However, the implementation of the study has spanned over 7 years due to many unexpected challenges. Some challenges include: ? Adapting the survey to be culturally appropriate in the Vietnamese context ? Effectively recruiting and training interviewers ? Correctly implementing translation and back translation protocols for the tools ? How to address missing data to correctly sum the primary care domain scores ? Appropriately assessing the affiliation with a primary care ...
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