Bjertnaes Øyvind Andresen, Garratt Andrew, Johannessen Jan Olav
Nasjonalt kunnskapssenter for helsetjenesten, Postboks 7004 St. Olavs plass, 0130 Oslo.
Tidsskr Nor Laegeforen. 2006 May 25;126(11):1481-3.
Questionnaires on patient experience are increasingly used as quality indicators in the health services. There is limited evidence relating to alternative approaches to surveying patients within this field. We wanted to assess the effect of different methods of data collection on response rates and scores produced by a self-administered questionnaire on patient experience for adult inpatients receiving mental health care.
Data were collected from adult inpatients treated at three community mental health centres affiliated with the psychiatric clinic at Stavanger University hospital in spring 2005. The inclusion period was nine weeks, with three designs at consecutive time periods: A, a postal survey following discharge; B, a clinical survey before discharge; and C, patients given the choice of A or B.
The response rate was highest with the postal design (38% vs. 24% and 23% respectively), but the differences were related to one additional reminder in the postal design. Out of the 11 questions, 4 had significantly poorer scores for the postal design. Questionnaire scores were significantly poorer with the postal design; 50 (on a scale from 0 to 100), vs. 59 and 63 in design B and C respectively.
The choice of data collection methods influences the results in user surveys in mental health care. This is an important consideration in the planning of studies and in the interpretation of the results, and in the comparison of results between studies using different data collection methods.
患者体验调查问卷越来越多地被用作卫生服务中的质量指标。在该领域内,关于调查患者的替代方法的证据有限。我们想评估不同数据收集方法对接受精神卫生护理的成年住院患者使用的自我管理患者体验调查问卷的回复率和得分的影响。
数据收集于2005年春季在斯塔万格大学医院精神病诊所附属的三个社区精神卫生中心接受治疗的成年住院患者。纳入期为九周,在连续时间段内采用三种设计:A,出院后邮寄调查;B,出院前临床调查;C,患者可选择A或B。
邮寄设计的回复率最高(分别为38%,而其他两种设计分别为24%和23%),但差异与邮寄设计中多一次提醒有关。在11个问题中,邮寄设计中有4个问题的得分明显较低。邮寄设计的问卷得分明显较低;为50分(满分0至100分),而设计B和C分别为59分和63分。
数据收集方法的选择会影响精神卫生护理中用户调查的结果。这在研究规划、结果解读以及使用不同数据收集方法的研究结果比较中都是一个重要的考虑因素。