Milano Maria, Mola Ernesto, Collecchia Giampaolo, Del Carlo Alessandro, Giancane Raeffaele, Visentin Giorgio, Nicolucci Antonio
CSeRMEG, Centro Studi e Ricerca in Medicina Generale, Monza, Italy.
Eur J Gen Pract. 2007;13(2):92-4. doi: 10.1080/13814780701378990.
To describe the validity and reliability of the Italian version of the EUROPEP instrument for patient evaluation of general practice care.
A survey was performed among patients who visited a general practice (n=983), using the 23-item EUROPEP questionnaire. The scores are aggregated in two dimensions: "clinical behaviour" and "organization of care". The cultural adaptation of the questionnaire into Italian has been performed by using the formal translation procedures applied in other European countries. Data were analysed with respect to item response rate, item-scale correlation, internal consistency reliability and construct validity of the instrument.
The item response rate was good for 17 items, acceptable for four items and problematic for one item. The item-scale correlation largely exceeded a value of 0.40 for all items in both scales. The internal consistency of the aggregated scores was also very good, the reliability coefficients being 0.95 for "clinical behaviour" and 0.90 for "organization of care". As expected, older age and better health status were associated with more positive evaluation of care.
Our study confirms that, even in its Italian version, the EUROPEP is a valid and easy-to-use instrument for gathering information on patients' experience with and evaluation of general practice care.
描述用于患者评估全科医疗服务的欧洲患者评价量表（EUROPEP）意大利语版本的有效性和可靠性。
使用包含23个条目的EUROPEP问卷，对983名前往全科诊所就诊的患者进行了一项调查。得分汇总为两个维度：“临床行为”和“医疗服务组织”。问卷已通过应用于其他欧洲国家的正式翻译程序进行了意大利语的文化适应性调整。分析了关于项目应答率、项目与量表相关性、量表内部一致性可靠性以及该工具的结构效度的数据。
17个项目的项目应答率良好，4个项目可接受，1个项目存在问题。两个量表中所有项目的项目与量表相关性均大大超过0.40。汇总得分的内部一致性也非常好，“临床行为”的信度系数为0.95，“医疗服务组织”的信度系数为0.90。正如预期的那样，年龄较大和健康状况较好与对医疗服务的更积极评价相关。
我们的研究证实，即使是意大利语版本，EUROPEP也是一种有效且易于使用的工具，可用于收集患者对全科医疗服务的体验和评价信息。
