[DllImport("gdi32.dll", EntryPoint = "GetDeviceCaps", SetLastError = true)]
        public static extern int GetDeviceCaps(IntPtr hdc, int nIndex);

        enum DeviceCap
        {
            VERTRES = 10,
            PHYSICALWIDTH = 110,
            SCALINGFACTORX = 114,
            DESKTOPVERTRES = 117,

            // http://pinvoke.net/default.aspx/gdi32/GetDeviceCaps.html
        }

        private static double GetScreenScalingFactor()
        {
            var g = Graphics.FromHwnd(IntPtr.Zero);
            IntPtr desktop = g.GetHdc();
            var physicalScreenHeight = GetDeviceCaps(desktop, (int)DeviceCap.DESKTOPVERTRES);

            var screenScalingFactor = 
                (double)physicalScreenHeight / Screen.PrimaryScreen.Bounds.Height;
            //SystemParameters.PrimaryScreenHeight;

            return screenScalingFactor;
        }

  <application xmlns="urn:schemas-microsoft-com:asm.v3">
    <windowsSettings>
      <dpiAware xmlns="http://schemas.microsoft.com/SMI/2005/WindowsSettings">true</dpiAware>
    </windowsSettings>
  </application>