Seibert J H, Strohmeyer J M, Carey R G
Parkside Associates, Inc., Park Ridge, IL, USA.
J Ambul Care Manage. 1996 Jan;19(1):17-37.
In an effort to develop a patient questionnaire with sufficient validity and reliability to be used to measure patient perceptions of quality, over 30,000 patients from 178 solo and group practices completed the Physician Office Quality of Care Monitor (QCM). The study found strong evidence of construct validity, predictive validity, and internal consistency for the questionnaire. Physician interactions were the most important aspect of office care while coordination of care over time was found to be the best issue to differentiate patients likely to recommend a practice from those less likely to recommend. An inverse relationship was found between practice size and patient satisfaction. Health maintenance organization (HMO) patients reported lower satisfaction, as did younger patients.
为了开发一份具有足够效度和信度的患者问卷，以用于衡量患者对医疗质量的看法，来自178个单人诊所和团体诊所的30000多名患者完成了《医师办公室医疗质量监测问卷》（QCM）。该研究发现，该问卷在结构效度、预测效度和内部一致性方面有强有力的证据。医师互动是门诊医疗中最重要的方面，而长期的医疗协调被发现是区分可能推荐该诊所的患者和不太可能推荐的患者的最佳因素。研究发现诊所规模与患者满意度之间存在反比关系。健康维护组织（HMO）的患者报告的满意度较低，年轻患者也是如此。
