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患者对住院服务的体验与满意度:用于测量住院体验核心方面的简短调查问卷的开发

Patient experience and satisfaction with inpatient service: development of short form survey instrument measuring the core aspect of inpatient experience.

作者信息

Wong Eliza L Y, Coulter Angela, Hewitson Paul, Cheung Annie W L, Yam Carrie H K, Lui Siu Fai, Tam Wilson W S, Yeoh Eng-Kiong

机构信息

The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom.

出版信息

PLoS One. 2015 Apr 10;10(4):e0122299. doi: 10.1371/journal.pone.0122299. eCollection 2015.

Abstract

Patient experience reflects quality of care from the patients' perspective; therefore, patients' experiences are important data in the evaluation of the quality of health services. The development of an abbreviated, reliable and valid instrument for measuring inpatients' experience would reflect the key aspect of inpatient care from patients' perspective as well as facilitate quality improvement by cultivating patient engagement and allow the trends in patient satisfaction and experience to be measured regularly. The study developed a short-form inpatient instrument and tested its ability to capture a core set of inpatients' experiences. The Hong Kong Inpatient Experience Questionnaire (HKIEQ) was established in 2010; it is an adaptation of the General Inpatient Questionnaire of the Care Quality Commission created by the Picker Institute in United Kingdom. This study used a consensus conference and a cross-sectional validation survey to create and validate a short-form of the Hong Kong Inpatient Experience Questionnaire (SF-HKIEQ). The short-form, the SF-HKIEQ, consisted of 18 items derived from the HKIEQ. The 18 items mainly covered relational aspects of care under four dimensions of the patient's journey: hospital staff, patient care and treatment, information on leaving the hospital, and overall impression. The SF-HKIEQ had a high degree of face validity, construct validity and internal reliability. The validated SF-HKIEQ reflects the relevant core aspects of inpatients' experience in a hospital setting. It provides a quick reference tool for quality improvement purposes and a platform that allows both healthcare staff and patients to monitor the quality of hospital care over time.

摘要

患者体验从患者的角度反映了医疗服务质量;因此,患者体验是评估卫生服务质量的重要数据。开发一种简短、可靠且有效的测量住院患者体验的工具,将从患者角度反映住院护理的关键方面,通过促进患者参与来推动质量改进,并能定期衡量患者满意度和体验的趋势。该研究开发了一种简短的住院患者工具,并测试了其捕捉住院患者核心体验集的能力。香港住院患者体验问卷(HKIEQ)于2010年制定;它是对英国Picker Institute创建的护理质量委员会通用住院患者问卷的改编。本研究采用共识会议和横断面验证调查来创建和验证香港住院患者体验问卷简表(SF-HKIEQ)。简表SF-HKIEQ由从HKIEQ中选取的18个项目组成。这18个项目主要涵盖了患者就医过程四个维度下护理的关系方面:医院工作人员、患者护理与治疗、出院信息以及总体印象。SF-HKIEQ具有高度的表面效度、结构效度和内部信度。经过验证的SF-HKIEQ反映了医院环境中住院患者体验的相关核心方面。它为质量改进目的提供了一个快速参考工具,以及一个能让医护人员和患者长期监测医院护理质量的平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24a8/4393260/e21e04d708e8/pone.0122299.g001.jpg

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