Chesney Mary, Lindeke Linda, Johnson Lauren, Jukkala Angela, Lynch Sandra
University of Minnesota, USA.
J Pediatr Health Care. 2005 Jul-Aug;19(4):221-9. doi: 10.1016/j.pedhc.2005.02.003.
Opinions about satisfaction with care are rarely solicited from children. This study's purpose was to compare children's ratings of patient satisfaction with outpatient care to ratings given by parents.
This descriptive and comparative survey study compared responses of a convenience sample of children and adolescents (n = 116) who received care at two metropolitan pediatric subspecialty clinics with their parents' responses (n = 115). Ratings were obtained using the "Satisfaction with Child Healthcare Survey," an instrument adapted with permission from the "Kids Count Survey" developed at McMaster Health Center in Ontario, Canada. Additionally, three open-ended questions were solicited and analyzed for major themes.
There was moderate significant correlation between child-teen and parent scores. Parents rated care significantly higher than did the children. Children's responses to open-ended questions varied somewhat from their parents' opinions on various aspects of clinic visits.
Findings suggested that having parents evaluate children's care may not accurately represent the views of children and teens. Findings supported children and teens' ability to provide valuable perceptions about care that can inform clinic improvement processes.
很少征求儿童对医疗护理满意度的意见。本研究的目的是比较儿童对门诊护理的患者满意度评分与父母给出的评分。
这项描述性比较调查研究比较了在两家大都市儿科专科诊所接受护理的儿童和青少年便利样本（n = 116）与他们父母（n = 115）的回答。使用“儿童医疗保健满意度调查”获得评分，该工具经许可改编自加拿大安大略省麦克马斯特健康中心开发的“儿童计数调查”。此外，还征集了三个开放式问题并分析了主要主题。
儿童青少年与父母的评分之间存在中度显著相关性。父母对护理的评分明显高于儿童。儿童对开放式问题的回答在诊所就诊的各个方面与父母的意见略有不同。
研究结果表明，让父母评估儿童的护理可能无法准确代表儿童和青少年的观点。研究结果支持儿童和青少年有能力提供有关护理的宝贵看法，这些看法可为诊所改进过程提供信息。
