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北欧患者体验问卷(NORPEQ):四个北欧国家数据质量、内部一致性和效度的跨国比较

The Nordic Patient Experiences Questionnaire (NORPEQ): cross-national comparison of data quality, internal consistency and validity in four Nordic countries.

作者信息

Skudal Kjersti Eeg, Garratt Andrew Malcolm, Eriksson Birgitta, Leinonen Tuija, Simonsen Jan, Bjertnaes Oyvind Andresen

机构信息

Department for Quality Measurement and Patient Safety, Norwegian Knowledge Centre for the Health Services, Oslo, Norway.

出版信息

BMJ Open. 2012 May 30;2(3). doi: 10.1136/bmjopen-2012-000864. Print 2012.

DOI:10.1136/bmjopen-2012-000864
PMID:22649175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3367149/
Abstract

OBJECTIVES

To evaluate the Nordic Patient Experiences Questionnaire (NORPEQ) for data quality, reliability and validity following surveys of patients in Finland, Norway, Sweden and the Faroe Islands. DESIGN, METHODS AND PARTICIPANTS: The NORPEQ was mailed to 500 patients randomly selected after receiving inpatient treatment in Finland, Norway and Sweden. The NORPEQ was also included in a national survey in Norway and in the Faroe Islands. Dimensionality was assessed using principal component analysis and internal consistency by item-total correlation and Cronbach's α. Construct validity was assessed by correlating NORPEQ scores with variables known to be related to patient experiences.

SETTING

Somatic hospitals in Finland, Faroe Islands, Norway and Sweden.

PRIMARY AND SECONDARY OUTCOME MEASURES

Item missing, internal consistency reliability and construct validity.

RESULTS

Response rates ranged from 45.8% in Norway to 84% for Sweden. Levels of missing data were low for all items across the surveys. Principal component analysis identified one component with six experiences items. Mean NORPEQ scores ranged from 74 to 79 on the 0-100 scale, where 100 represents the best possible experiences. Cronbach's α ranged from 0.84 in Finland to 0.88 in Sweden.

CONCLUSIONS

The NORPEQ is a brief measure of patient experiences that covers important aspects of the healthcare encounter. It shows good evidence of reliability and validity.

PRACTICE IMPLICATIONS

The NORPEQ instrument is recommended for cross-national comparisons of healthcare experiences for the four Nordic countries.

摘要

目的

在对芬兰、挪威、瑞典和法罗群岛的患者进行调查后,评估北欧患者体验问卷(NORPEQ)的数据质量、可靠性和有效性。

设计、方法与参与者:NORPEQ被邮寄给在芬兰、挪威和瑞典接受住院治疗后随机选取的500名患者。NORPEQ也被纳入挪威和法罗群岛的一项全国性调查中。使用主成分分析评估维度,并通过项目总分相关性和克朗巴哈α系数评估内部一致性。通过将NORPEQ得分与已知与患者体验相关的变量进行关联来评估结构效度。

设置

芬兰、法罗群岛、挪威和瑞典的综合医院。

主要和次要结局指标

项目缺失、内部一致性可靠性和结构效度。

结果

回复率从挪威的45.8%到瑞典的84%不等。各项调查中所有项目的缺失数据水平都很低。主成分分析确定了一个包含六个体验项目的成分。NORPEQ得分在0至100分的量表上,平均分数从74到79分不等,其中100分代表最佳体验。克朗巴哈α系数从芬兰的0.84到瑞典的0.88不等。

结论

NORPEQ是一种对患者体验的简短测量方法,涵盖了医疗接触的重要方面。它显示出良好的可靠性和有效性证据。

实践意义

建议使用NORPEQ工具对四个北欧国家的医疗体验进行跨国比较。

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