González Nerea, Quintana Jose M, Bilbao Amaia, Escobar Antonio, Aizpuru Felipe, Thompson Andrew, Esteban Cristóbal, Sebastián Jose Antonio San, de la Sierra Emilio
Research Unit, Hospital of Galdakao, Galdakao, Spain.
Int J Qual Health Care. 2005 Dec;17(6):465-72. doi: 10.1093/intqhc/mzi067. Epub 2005 Aug 12.
To develop a psychometrically sound, hospital patient satisfaction questionnaire to be administered to patients discharged from medical and surgical services.
Cross-sectional survey in Spanish.
Four acute care general hospitals of the Basque Health Service.
Random samples of 650 discharged patients from each hospital during February and March 2002. A total of 1910 patients responded to the questionnaire (73.5%).
Overall perceived quality of health care and perceived health improvement.
No sociodemographic differences were found between respondents and non-respondents. Six dimensions were identified from the factor analysis, explaining 50% of the variance. All items, except two, revealed loadings above 0.4. Cronbach's alpha exceeded 0.7 for all dimensions, except privacy. Comfort was the dimension with the lowest level of patient satisfaction, whereas privacy was the most satisfactory. The interscale correlations never exceeded the internal consistency of each scale. The analysis of the dimensions with two items of global assessment showed a positive correlation.
The results obtained from the development and validation of the questionnaire provide evidence of its psychometric properties, although it would be useful to carry out further analyses to assess time-based properties of reliability. We found a positive relation between the degree of patient satisfaction and overall evaluation of the quality of health care, providing evidence of the ability of the questionnaire to correlate with other concepts. The in-patient satisfaction questionnaire could become a useful instrument in quality-of-care assessment.
编制一份心理测量学上可靠的医院患者满意度调查问卷，用于对内科和外科出院患者进行调查。
采用西班牙语进行横断面调查。
巴斯克卫生服务机构的四家急症综合医院。
2002年2月和3月期间，从每家医院随机抽取650名出院患者。共有1910名患者回复了问卷（回复率为73.5%）。
总体感知的医疗保健质量和感知的健康改善情况。
回复者与未回复者之间未发现社会人口统计学差异。通过因子分析确定了六个维度，解释了50%的方差。除两项外，所有项目的载荷均高于0.4。除隐私维度外，所有维度的Cronbach's α均超过0.7。舒适度是患者满意度最低的维度，而隐私是最令人满意的维度。各量表间的相关性从未超过每个量表的内部一致性。对包含两项总体评估的维度进行分析显示呈正相关。
问卷编制和验证所获得的结果提供了其心理测量学特性的证据，尽管进行进一步分析以评估基于时间的可靠性特性会很有用。我们发现患者满意度程度与医疗保健质量总体评估之间存在正相关，这证明了问卷与其他概念相关的能力。住院患者满意度调查问卷可能成为护理质量评估中的一个有用工具。
