Delnoij Diana M J, ten Asbroek Guus, Arah Onyebuchi A, de Koning Johan S, Stam Piet, Poll Aldien, Vriens Barbara, Schmidt Paul, Klazinga Niek S
NIVEL (Netherlands institute for health services research), PO Box 1568, 3500 BN Utrecht, The Netherlands.
Eur J Public Health. 2006 Dec;16(6):652-9. doi: 10.1093/eurpub/ckl023. Epub 2006 Mar 8.
In the Netherlands, managed competition between health plans has been introduced. For Dutch health plans this implies that they need to collect data about their own performance and that of the care providers they contract. To that end, Consumer Assessment of Health Plan Surveys (CAHPS) instruments have recently been adopted by a large Dutch health plan.
This paper presents the results of a validation study of the Dutch version of the CAHPS Adult Commercial questionnaire. The questions addressed are as follows: Can this questionnaire be adapted for use in the context of the Dutch insurance system? and Can it generate valid information about the quality of health care and the performance of Dutch health plans?
The translated questionnaire has been mailed to a sample of 977 enrollees. The psychometric properties of the translated instrument have been studied, and the results have been compared with those of other Dutch and American studies.
The net response rate was 51% (n = 500). In general, the questionnaires were filled out completely and consistently. Principal component analyses revealed a factor that can be labelled as patient-centredness in the primary process. It contains the domains that in the CAHPS literature are described as 'courteous/helpful staff' and 'doctors communicating well'.
The translated version of the CAHPS Adult Commercial questionnaire is a promising tool for Dutch health plans. More research is needed on the external and the content validity of these questionnaires in the Dutch context.
在荷兰，已引入健康计划之间的管理式竞争。对于荷兰的健康计划而言，这意味着它们需要收集有关自身绩效以及与其签约的医疗服务提供者绩效的数据。为此，荷兰一家大型健康计划最近采用了消费者健康计划评估调查（CAHPS）工具。
本文展示了CAHPS成人商业问卷荷兰语版本的验证研究结果。所探讨的问题如下：该问卷能否适用于荷兰保险系统的背景？它能否生成有关荷兰医疗保健质量和健康计划绩效的有效信息？
已将翻译后的问卷邮寄给977名参保人的样本。对翻译后的工具的心理测量特性进行了研究，并将结果与其他荷兰和美国的研究结果进行了比较。
净回复率为51%（n = 500）。总体而言，问卷填写完整且一致。主成分分析揭示了一个在初级过程中可被标记为以患者为中心的因素。它包含在CAHPS文献中被描述为“礼貌/乐于助人的工作人员”和“医生沟通良好”的领域。
CAHPS成人商业问卷的翻译版本对荷兰健康计划来说是一个有前景的工具。在荷兰背景下，需要对这些问卷的外部效度和内容效度进行更多研究。
