The use of EUROPEP in South Africa: an internationally standardised instrument to evaluate general practice
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The study examined the psychometric properties of the South African (isiXhosa) version of the European Task Force for Patient Evaluation of General Practice (EUROPEP) instrument. A total of 19,136 patients who visited 266 primary care practices in three districts in the Eastern Cape of South Africa completed the EUROPEP, a measure of patient satisfaction with care. The data were analyzed for reliability and construct validity. Exploratory factor analysis yielded three different sub-dimensions: medical technical content of care, patient-provider communication, and practice organisation. The reliability of the items and of the different sub-scales was high. The EUROPEP instrument can be a valuable instrument in assessing patients' evaluations of primary health care in South Africa.