Schröder Agneta, Larsson Bodil Wilde, Ahlström Gerd, Lundqvist Lars-Olov
Psychiatric Research Centre, Orebro County Council, Orebro, Sweden.
Int J Health Care Qual Assur. 2010;23(6):554-70. doi: 10.1108/09526861011060924.
The purpose of this paper is to test the psychometric properties and dimensionality of a new instrument, quality in psychiatric care (QPC), and to describe and compare quality of care among in-patients as measured by this instrument.
DESIGN/METHODOLOGY/APPROACH: The instrument quality in psychiatric care measures patients' experiences regarding quality of care. The instrument is based on a definition of quality of care from the patients' perspective. A sample of 265 in-patients at eight general psychiatric wards in Sweden was assessed.
Exploratory factor analysis revealed that the original five-dimensional 69-item QPC was better with six dimensions and reduced to 30 items, hereinafter denoted quality in psychiatric care-in-patients (QPC-IP) with retained internal consistency. The patients' ratings of quality of care were generally high; the highest rating was for quality of encounter and the lowest for participation.
RESEARCH LIMITATIONS/IMPLICATIONS: Analysis of the dropouts was not possible because of incomplete registrations at the wards.
QPC-IP is a simple, inexpensive and quick way to evaluate quality of care and thus contributes to health care improvement in the field of psychiatry.
ORIGINALITY/VALUE: The new 30 items instrument, QPC-IP includes important aspects of patients' perceptions of quality of care. The QPC-IP is psychometrically adequate and thus recommended for evaluating patients' experiences of the quality of psychiatric care.
本文旨在测试一种新工具——精神科护理质量（QPC）的心理测量特性和维度，并描述和比较用该工具测量的住院患者的护理质量。
设计/方法/途径：精神科护理质量工具测量患者对护理质量的体验。该工具基于从患者角度对护理质量的定义。对瑞典八个普通精神科病房的265名住院患者进行了评估。
探索性因素分析表明，最初的五维69项QPC在分为六个维度时表现更好，并缩减至30项，以下称为住院患者精神科护理质量（QPC-IP），其内部一致性得以保留。患者对护理质量的评分普遍较高；对医患互动质量的评分最高，对参与度的评分最低。
研究局限/影响：由于病房登记不完整，无法对退出者进行分析。
QPC-IP是一种评估护理质量的简单、廉价且快速的方法，因此有助于精神科领域的医疗保健改进。
原创性/价值：新的30项工具QPC-IP包含了患者对护理质量认知的重要方面。QPC-IP在心理测量方面足够充分，因此推荐用于评估患者对精神科护理质量的体验。
