Ware J E, Snyder M K
Med Care. 1975 Aug;13(8):669-82. doi: 10.1097/00005650-197508000-00006.
The factor analytic development and validation of numerous index scores to measure patient attitudes regarding characteristics of doctors and medical care services is described. Index scores meeting factor analytic criteria and found to be reliable were used to study the nature and number of attitudinal dimensions underlying patient satisfaction. The use of index scores which have met logical and empirical criteria is in contrast to the common practice of using individual questionnaire items as the unit of analysis. Four major dimensions of patient attitudes were identified and described, including attitudes toward doctor conduct (humanness and quality) and such enabling components as availability of services, continuity/convenience of care and access mechanisms (cost, payment mechanisms, and ease of emergency care). Measures of attitudes toward caring (humanness) and curing (quality/competence) aspects of doctor conduct appear to reflect the same underlying attitudinal dimension. Findings are discussed in relation to concepts and measures mentioned in the published literature and suggestions are offered for future research.
本文描述了众多指数得分的因素分析发展及验证过程，这些指数得分用于衡量患者对医生及医疗服务特征的态度。符合因素分析标准且可靠的指数得分被用于研究患者满意度背后态度维度的性质和数量。使用符合逻辑和实证标准的指数得分与将单个问卷项目作为分析单位的常见做法形成对比。确定并描述了患者态度的四个主要维度，包括对医生行为（人性和质量）的态度以及诸如服务可用性、护理连续性/便利性和获取机制（成本、支付机制和急诊护理便利性）等促成因素。对医生行为中关怀（人性）和治疗（质量/能力）方面的态度测量似乎反映了相同的潜在态度维度。结合已发表文献中提到的概念和测量方法对研究结果进行了讨论，并为未来研究提出了建议。
