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[躯体门诊中患者体验问卷PasOpp]

[The patient experiences questionnaire PasOpp in somatic outpatient clinics].

作者信息

Garratt Andrew, Bjertnaes Øyvind Andresen, Krogstad Unni, Gulbrandsen Pål

机构信息

Nasjonalt kunnskapssenter for helsetjenesten, Postboks 7004 St. Olavs plass, 0130 Oslo.

出版信息

Tidsskr Nor Laegeforen. 2005 Feb 17;125(4):421-4.

PMID:15742011
Abstract

BACKGROUND

The purpose of this paper is to describe the development and evaluation of the patient experiences questionnaire (PEQ) for somatic outpatients.

MATERIAL AND METHODS

Literature review, focus groups, interviews with patients and clinicians, and pre-testing of questionnaire items were used. A postal survey among 12,525 patients of 23 outpatient clinics for adults in two Norwegian health regions was conducted during 2003.

RESULTS

6824 (55%) patients responded to the questionnaire. Low levels of missing data suggest that the questionnaire is acceptable to patients. Factor analysis of items deemed applicable to all patients produced three scales: clinic access (2 items), communication (6 items) and organisation (4 items). The remaining items contributed to the hypothesised scales of information (6 items), hospital standards (3 items), and pre-visit experience (3 items). With the exception of the pre-visit experience scale, the levels of Cronbach's alpha met the criterion of 0.7. The great majority of the results of validity testing were as hypothesised. Correlations between the scales ranged from 0.30 (clinic access and information) to 0.72 (communication and information). As hypothesised, scores were significantly related to responses to questions about overall satisfaction, general health, and age.

INTERPRETATION

The outpatient experience questionnaire is a self-administered instrument that includes the most important aspects of experience from the outpatients' perspective. Three core dimensions for use in a shortened version have been identified.

摘要

背景

本文旨在描述针对躯体疾病门诊患者的患者体验问卷(PEQ)的开发与评估。

材料与方法

采用了文献综述、焦点小组讨论、对患者和临床医生的访谈以及问卷项目的预测试。2003年期间,对挪威两个健康区域的23家成人门诊诊所的12525名患者进行了邮寄调查。

结果

6824名(55%)患者回复了问卷。缺失数据水平较低表明该问卷为患者所接受。对认为适用于所有患者的项目进行因子分析产生了三个量表:诊所就诊便利性(2个项目)、沟通(6个项目)和组织(4个项目)。其余项目构成了假设的信息量表(6个项目)、医院标准量表(3个项目)和就诊前体验量表(3个项目)。除就诊前体验量表外,克朗巴哈系数水平符合0.7的标准。效度测试的绝大多数结果与假设一致。各量表之间的相关性范围为0.30(诊所就诊便利性与信息)至0.72(沟通与信息)。正如所假设的,得分与关于总体满意度、一般健康状况和年龄的问题的回答显著相关。

解读

门诊体验问卷是一种自填式工具,从门诊患者的角度涵盖了体验的最重要方面。已确定了可用于简化版的三个核心维度。

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