School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Int J Qual Health Care. 2013 Sep;25(4):443-51. doi: 10.1093/intqhc/mzt034. Epub 2013 May 19.
A validation survey was carried out in this study to assess the acceptability, validity and reliability of the Hong Kong Inpatient Experience Questionnaire (HKIEQ), which was newly developed to measure patient experiences of hospital care in Hong Kong (HK).
Cross-sectional validation survey.
Principal component exploratory factor analysis assessed the construct validity of the questionnaire. Cronbach's alpha coefficients and Spearman's rank correlation coefficient estimated the reliability of the instrument. Acceptability of the questionnaire regarding the percentage of missing value of individual items was also assessed.
A total of 511 patients discharged from public hospitals in HK were interviewed. Low percentage of missing value (0.2 to 21.3%) showed high acceptability. Nine dimensions of hospital care explaining 75.4% of the variance were derived from factor analysis and content validity. These items showed satisfactory internal reliability consistency (0.49 to 0.97). Test-retest reliability ranged from 0.36 to 0.96.
The HKIEQ performed well on several psychometric indicators and is a promising measure of patient experience with public hospital inpatient care in HK. The findings provided important insight on developing tools to measure patient experience in hospitals to improve the quality of care and to lay the foundation for further research on patient expectations and needs regarding hospitalization.
本研究进行了一项验证性调查，以评估新开发的用于测量香港（HK）住院患者对医院护理体验的香港住院患者体验问卷（HKIEQ）的可接受性、有效性和可靠性。
横断面验证性调查。
主成分探索性因子分析评估问卷的结构有效性。克朗巴赫的 alpha 系数和斯皮尔曼等级相关系数评估了工具的可靠性。还评估了问卷对个别项目缺失值的百分比的可接受性。
共对香港公立医院出院的 511 名患者进行了访谈。低百分比的缺失值（0.2%至 21.3%）表明了很高的可接受性。从因子分析和内容有效性中得出了 9 个解释 75.4%方差的医院护理维度。这些项目表现出令人满意的内部可靠性一致性（0.49 至 0.97）。重测信度范围从 0.36 到 0.96。
HKIEQ 在几个心理计量指标上表现良好，是测量香港公立医院住院患者体验的一种有前途的方法。研究结果为开发衡量医院患者体验的工具提供了重要的见解，有助于提高护理质量，并为进一步研究患者对住院的期望和需求奠定基础。
