Mosconi P, Groth N, Apolone G, Niero M, Oprandi N, Belloli A, Mannino S
Ist. di Igiene, Università di Siena, Siena.
Ann Ig. 2003 Jul-Aug;15(4):341-62.
This study describes the process of development of a new instrument for measuring patient satisfaction with hospital care in Italy. The self-administered questionnaire included a total of 48 items, -contributing to the construction of 8 scales, each of them describing a specific area of interest such as medical care and nursing, several aspects of organisation, comfort and overall outcome of care. Psychometric characteristics of the questionnaire were in terms of acceptability, validity, reliability and the ability to discriminate different levels of satisfaction in various patient groups. Psychometric analyses resulted in a convincing construct validity and reliability, as described by the Cronbach Alpha coefficient estimates [range 0.73-0.95]. The high compliance obtained (67.3%) can be considered a sign of good acceptability of the questionnaire and of its mode of administration. These analyses demonstrate a good performance of the questionnaire in terms of both validity and reliability, suggesting that this instrument can represent a solid base for future applications.
本研究描述了一种用于衡量意大利患者对医院护理满意度的新工具的开发过程。这份自填式问卷共有48个项目,用于构建8个量表,每个量表描述一个特定的关注领域,如医疗护理、组织的多个方面、舒适度和护理的总体结果。问卷的心理测量特征包括可接受性、有效性、可靠性以及区分不同患者群体不同满意度水平的能力。心理测量分析得出了令人信服的结构效度和信度,如克朗巴哈α系数估计值所示[范围为0.73 - 0.95]。获得的高依从率(67.3%)可被视为问卷及其施测方式具有良好可接受性的标志。这些分析表明问卷在效度和信度方面表现良好,表明该工具可为未来应用提供坚实基础。