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用于评估患者对西班牙语药学服务满意度的调查问卷。

Questionnaire to assess patient satisfaction with pharmaceutical care in Spanish language.

作者信息

Traverso María Luz, Salamano Mercedes, Botta Carina, Colautti Marisel, Palchik Valeria, Pérez Beatriz

机构信息

Pharmaceutical Care Area, Faculty of Biochemical and Pharmaceutical Sciencies, National University of Rosario, Rosario, Argentina.

出版信息

Int J Qual Health Care. 2007 Aug;19(4):217-24. doi: 10.1093/intqhc/mzm014. Epub 2007 Jun 2.

Abstract

OBJECTIVE

To develop and validate a questionnaire, in Spanish, for assessing patient satisfaction with pharmaceutical care received in community pharmacies.

DESIGN

Selection and translation of questionnaire's items; definition of response scale and demographic questions. Evaluation of face and content validity, feasibility, factor structure, reliability and construct validity.

SETTING

Forty-one community pharmacies of the province of Santa Fe. Argentina.

PARTICIPANTS

Questionnaire administered to patients receiving pharmaceutical care or traditional pharmacy services.

MAIN OUTCOME MEASURE

Pilot test to assess feasibility. Factor analysis used principal components and varimax rotation. Reliability established using internal consistency with Cronbach's alpha. Construct validity determined with extreme group method.

RESULTS

A self-administered questionnaire with 27 items, 5-point Likert response scale and demographic questions was designed considering multidimensional structure of patient satisfaction. Questionnaire evaluates cumulative experience of patients with comprehensive pharmaceutical care practice in community pharmacies. Two hundred and seventy-four complete questionnaires were obtained. Factor analysis resulted in three factors: Managing therapy, Interpersonal relationship and General satisfaction, with a cumulative variance of 62.51%. Cronbach's alpha for the whole questionnaire was 0.96, and 0.95, 0.88 and 0.76 for the three factors, respectively. Mann-Whitney test for construct validity did not showed significant differences between pharmacies that provide pharmaceutical care and those that do not, however, 23 items showed significant differences between the two groups of pharmacies.

CONCLUSION

The questionnaire developed can be a reliable and valid instrument to assess patient satisfaction with pharmaceutical care in community pharmacies in Spanish. Further research is needed to deepen the validation process.

摘要

目的

编制并验证一份西班牙语问卷,用于评估患者对社区药房药学服务的满意度。

设计

问卷项目的选择与翻译;反应尺度及人口统计学问题的定义。进行表面效度、内容效度、可行性、因子结构、信度及结构效度评估。

地点

阿根廷圣菲省的41家社区药房。

参与者

向接受药学服务或传统药房服务的患者发放问卷。

主要观察指标

通过预试验评估可行性。因子分析采用主成分法和方差最大旋转法。采用Cronbach's α系数评估内部一致性以确定信度。采用极端组法确定结构效度。

结果

考虑到患者满意度的多维结构,设计了一份包含27个项目、5级李克特反应尺度及人口统计学问题的自填式问卷。该问卷评估患者在社区药房接受综合药学服务的累积体验。共获得274份完整问卷。因子分析产生了三个因子:治疗管理、人际关系和总体满意度,累积方差为62.51%。整个问卷的Cronbach's α系数为0.96,三个因子的系数分别为0.95、0.88和0.76。结构效度的曼-惠特尼检验显示,提供药学服务的药房与未提供药学服务的药房之间无显著差异,然而,两组药房之间有23个项目存在显著差异。

结论

所编制的问卷可作为一种可靠且有效的工具,用于评估西班牙语地区患者对社区药房药学服务的满意度。需要进一步研究以深化验证过程。

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