The age-friendly public health center satisfaction scale: development and psychometric evaluation
International Journal of Health Governance
ISSN: 2059-4631
Article publication date: 31 August 2021
Issue publication date: 7 December 2021
Abstract
Purpose
The study aimed to develop a reliable and valid instrument that could be used to assess the age-friendly Public Health Center Satisfaction (APHCS) among older people.
Design/methodology/approach
A cross-sectional study was performed to assess the psychometric properties of the scale. The study was conducted in Manado City, Indonesia, from August to November of 2019 using stratified random sampling. A review of the literature and content analysis identified subscales and items to be included in the instrument. The 268 participants aged = 60 years were completed for psychometric evaluation with a response rate of 83.8%. Data were analyzed with descriptive statistics, Exploratory Factor Analysis (EFA), Cronbach's Alpha, t-test, one-way ANOVA, and Person/Spearmen correlations.
Findings
The final scale consists of a three-factor structure with 16 items, which were accounted for 68.99% of the total variation in response. The Cronbach's alpha of the total APHCS was 0.88, which indicated the high reliability and acceptance of the instrument. Also, the concurrent validity was demonstrated by the significant differences in mean and associations among the APHCS scale, the age-friendly Public Health Center (PHCC) utilization, and individual variables, with r ranging from −0.13 to 0.30 (p < 0.05).
Research limitations/implications
Older people are more likely to use PHCCs than others, and they have higher expectations about health services. This study has highlighted the need for action on the quality of healthcare by providers and national authorities. High-quality primary healthcare that sees clients as partners, considering the needs and capacities of elderly clients should be provided as standard. The APHCS scale can enhance our understanding of elderly satisfaction toward the age-friendly PHCC program. Also, the instrument can be used for monitoring and measuring institutions, which is a basis for policymakers to improve and develop the age-friendly PHCC program.
Originality/value
The APHCS scale is a valid and reliable instrument for getting information about the satisfaction of the elderly toward the age-friendly PHCC program.
Keywords
Acknowledgements
Funding: The authors received no financial support for the research, authorship, and publication of this article.
Declaration of conflicting interests: The authors declare that there is no conflict of interest.
The authors are thankful to Manado Governate and the Head of the Ranomut age-friendly Public Health Center for permitting us to conduct the study, and the colleagues, doctors, nurses and lecturers in developing the content of scale. The authors are also grateful to Winda Oroh, RN and community volunteers who helped collect the data.
Citation
Baithesda, B., Chen, C.-M., Juniarti, N. and Tandilangi, A.A. (2021), "The age-friendly public health center satisfaction scale: development and psychometric evaluation", International Journal of Health Governance, Vol. 26 No. 4, pp. 432-445. https://doi.org/10.1108/IJHG-04-2021-0039
Publisher
:Emerald Publishing Limited
Copyright © 2021, Emerald Publishing Limited