Medical Care Research Unit, ScHARR, University of Sheffield, Regent Street, Sheffield S1 4DA, UK.
BMJ Qual Saf. 2011 Feb;20(2):134-40. doi: 10.1136/bmjqs.2009.036574. Epub 2011 Jan 5.
Patients seeking emergency and urgent care tend to experience a system, making choices about which service to use and making use of a number of services within a healthcare episode. The aim was to psychometrically test the Urgent Care System Questionnaire (UCSQ) for the routine measurement of the patient perspective of the emergency and urgent care system.
The UCSQ was developed based on qualitative research with recent users of the system. It consisted of a screening question to identify recent users and questions on the patient experience of, and satisfaction with, their most recent event. The acceptability, validity and reliability of the UCSQ were tested in a postal survey of 900 members of the general population and a telephone survey of a quota sample of 1000 members of the general population.
The response rate to the postal survey was 51% (457/893). In the telephone survey, 11604 calls were made to obtain a quota sample of 1014 people. These surveys identified 250 system users in the previous 3 months. A principal-components analysis identified three satisfaction components with good internal consistency (Cronbach alpha between 0.7 and 0.93): 'progress through the system' (10 items), 'entry into the system' (three items) and 'patient convenience' (five items). These components varied as expected by age and overall rating of the system.
Preliminary testing suggests that the UCSQ has reasonable acceptability, validity and reliability. Further testing is required, particularly its responsiveness to changes in emergency and urgent care systems.
寻求紧急和紧急护理的患者往往会经历一个系统，他们会选择使用哪种服务，并在医疗事件中使用多种服务。目的是使用计量心理学测试方法来测试紧急和紧急护理系统的患者视角的紧急护理系统问卷（UCSQ）。
UCSQ 是基于对系统最近使用者的定性研究开发的。它由一个筛选问题组成，用于识别最近的使用者，以及关于他们最近事件的患者体验和满意度的问题。UCSQ 的可接受性、有效性和可靠性在对 900 名普通人群的邮寄调查和对 1000 名普通人群的配额样本的电话调查中进行了测试。
邮寄调查的回复率为 51%（457/893）。在电话调查中，共拨打了 11604 个电话，以获得 1014 人的配额样本。这些调查在过去 3 个月内确定了 250 名系统使用者。主成分分析确定了三个满意度组成部分，具有良好的内部一致性（Cronbach alpha 在 0.7 到 0.93 之间）：“系统中的进展”（10 项）、“进入系统”（3 项）和“患者便利性”（5 项）。这些组成部分与年龄和系统的总体评分预期相符。
初步测试表明，UCSQ 具有合理的可接受性、有效性和可靠性。需要进一步测试，特别是其对紧急和紧急护理系统变化的响应能力。
