Yacavone R F, Locke G R, Gostout C J, Rockwood T H, Thieling S, Zinsmeister A R
Gastroenterology and Hepatology Outcomes Research Unit and Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Gastrointest Endosc. 2001 Jun;53(7):703-10. doi: 10.1067/mge.2001.115337.
A modified Group Health Association of America-9 survey (mGHAA-9) was recently proposed for measurement of patient satisfaction with endoscopy. It is unknown whether the mGHAA-9 addresses the issues most important to this outcome.
A 15-item survey of factors potentially important to patient satisfaction with endoscopy was developed, including the 6 core mGHAA-9 items. Respondents were asked to rank the factors from 1 to 15 (1 = most important to l5 = least important to satisfaction). Two groups were surveyed: (1) patients with prior endoscopy experience and (2) physician endoscopists. Item rank distributions overall and by patient age, gender, and procedure experience were examined.
Of 559 outpatients surveyed, 437 (78%) provided complete responses. The mean patient age was 59 years (48.7% female, 45.3% male, 6% not stated). The number 1 ranked factor was the endoscopist's technical skills (median ranking (mr) = 1), an item included in the mGHAA-9. Pain control, a factor not assessed by the mGHAA-9, was second (mr = 4), and ranked number 1 by 16% of patients. Item rankings were consistent across patient subgroups. Relative to patients, endoscopists underprioritized preprocedure and postprocedure communication.
The mGHAA-9 has inadequate content validity for measurement of patient satisfaction with endoscopy because it does not assess pain control. However, endoscopy satisfaction measurement with a single, universally applied instrument appears feasible.
最近有人提出了一种改进的美国团体健康协会-9调查（mGHAA-9），用于测量患者对内镜检查的满意度。尚不清楚mGHAA-9是否解决了对该结果最重要的问题。
开展了一项针对可能对患者内镜检查满意度重要的因素的15项调查，包括mGHAA-9的6项核心内容。要求受访者对这些因素从1到15进行排序（1 = 对满意度最重要至15 = 对满意度最不重要）。调查了两组人群：（1）有过内镜检查经历的患者和（2）内镜医师。检查了总体以及按患者年龄、性别和检查经历的项目排名分布情况。
在接受调查的559名门诊患者中，437名（78%）提供了完整答复。患者的平均年龄为59岁（女性占48.7%，男性占45.3%，6%未说明）。排名第一的因素是内镜医师的技术技能（中位数排名（mr）= 1），这是mGHAA-9中的一项内容。疼痛控制是mGHAA-9未评估的一个因素，排名第二（mr = 4），16%的患者将其列为第一。各患者亚组的项目排名一致。与患者相比，内镜医师对检查前和检查后的沟通重视不足。
mGHAA-9在测量患者对内镜检查的满意度方面内容效度不足，因为它未评估疼痛控制。然而，使用单一的、普遍适用的工具来测量内镜检查满意度似乎是可行的。
