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Measuring patient satisfaction: a test of construct validity.

机译:衡量患者满意度:构建效度的检验。

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摘要

OBJECTIVE--To establish the validity of two patient satisfaction questionnaires (surgery satisfaction questionnaire (SSQ) and consultation satisfaction questionnaire (CSQ)) developed for use in general practice. DESIGN--Prospective study of performance of SSQ and CSQ in patients selected for their predicted levels of satisfaction. SETTING--Avon Family Health Services Authority (FHSA); general practices in Bristol (practice A) and in Cheltenham (practice B). PATIENTS--400 patients selected by Avon FHSA who had changed practices but not their home address and whose original practice had not changed its services (group 1); 869 randomly selected patients (221 from practice A, 648 from practice B) (group 2). MAIN MEASURES--Median difference in satisfaction scores for each questionnaire between groups 1 and 2 and between subgroups of group 2 patients according to assessed level in continuity of care (< 50%, > or = 50%) in the past 12 consultations. RESULTS--272 (68.0%) patients in group 1 completed the SSQ and CSQ. 711 (81.2%) patients in group 2 (178/221 (80.5%) in practice A, 533/648(82.3%) in practice B) completed the SSQ and 374(88/106(83.0%), 286/335(85.4%)) completed the CSQ. Both questionnaires classified patients in groups 1 and 2 according to the construct of satisfaction; thus the difference in median scores for every component of satisfaction in each questionnaire was significant and occurred in the direction predicted by the construct. Each questionnaire also discriminated between patients grouped according to their assessed level of continuity of care. CONCLUSION--SSQ and CSQ are valid measures of satisfaction for these types of patients. IMPLICATIONS--Valid measures of patient satisfaction can be developed; untested instruments should no longer be used.
机译:目的-建立两个患者满意度问卷(手术满意度问卷(SSQ)和咨询满意度问卷(CSQ))的有效性,以供一般实践使用。设计-对因预期满意度而选择的患者进行SSQ和CSQ表现的前瞻性研究。地点-雅芳家庭健康服务管理局(FHSA);布里斯托尔(惯例A)和切尔滕纳姆(惯例B)的一般做法。患者-由Avon FHSA选择的400名患者改变了治疗方式但未改变其家庭住址,并且其最初的治疗方法并未改变其服务(第1组);随机选择869例患者(来自练习A的221位,来自练习B的648位)(第2组)。主要指标-根据过去12次咨询中评估的护理连续性水平(<50%,>或= 50%),第1组和第2组之间以及第2组患者的亚组之间每个问卷的满意度得分中位数差异。结果-第1组中的272名(68.0%)患者完成了SSQ和CSQ。第2组中的711名患者(81.2%)(实践A中的178/221(80.5%),实践B中的533/648(82.3%))完成了SSQ,而374(88/106(83.0%),286/335( 85.4%))完成了CSQ。两种问卷均根据满意度的构成将患者分为1组和2组。因此,每个调查问卷中每个满意度组成部分的中位数得分差异均很大,并且在结构预测的方向上发生。每个问卷还根据评估的护理连续性对患者进行了区分。结论-SSQ和CSQ是这些类型患者的有效满意度指标。含义-可以制定有效的患者满意度衡量标准;未经测试的仪器将不再使用。

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