Psychometric Properties of the Assessment of Perceived Access to Care (APAC) Instrument. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Fortney, John C.; Pyne, Jeff M.; Hawrilenko, Matt; Bechtel, Jared M.; Moore, Dana; Nolan, John P.; Pfeiffer, Paul; Shushan, Stephanie; Shore, Jay H.; Bowen, Deb
• Is Part Of: Journal of ambulatory care management. Volume 44:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: access to care -- mental health -- psychometrics; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000358
• Languages: English
• ISSNs: 0148-9917

Abstract

Abstract : Valid measures of perceived access are needed to measure whether health care systems are providing adequate access. This research reports on the psychometric properties of the Assessment of Perceived Access to Care (APAC), which was administered to 1004 Community Health Center patients screening positive for psychiatric disorders. Known-group validity was good, with 6 of the 8 hypothesized associations between social determinants of access and perceived access being significant ( P < .01). Better access was significantly ( P < .01) correlated with more outpatient mental health visits, indicating good convergent validity. The test-retest Pearson correlation coefficient (0.64) was statistically significant ( P < .01). The APAC has acceptable psychometric properties.