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[一种用于评估基层医疗水平患者满意度的工具的构建与验证]

[Construction and validation of an instrument to assess primary care level patient satisfaction].

作者信息

Silberman Martín Salvador, Moreno-Altamirano Laura, Hernández-Montoya Dewi, Martínez-González Adrián, Díaz-López Héctor Ochoa

机构信息

Instituto de Ciencias de la Salud, Universidad Nacional Arturo Jauretche, Argentina.

Departamento de Salud Pública, Facultad de Medicina, UNAM, México, D.F., México.

出版信息

Gac Med Mex. 2016 Jan-Feb;152(1):43-50.

Abstract

OBJECTIVE

To develop an instrument to assess the satisfaction of patients using health services at the first care level of the city of Mexico (SSA), adapted to the socio-cultural characteristics of the population, and to examine its reliability and validity.

METHODS

The instrument reagents were designed using the natural semantic networks technique. The dimensions used have been determined from the literature. Participants included 230 adults with type 2 diabetes attending eight SSA health centers. Subsequently, intelligibility was determined by conducting a pilot, then the construct validity of the instrument by means of exploratory factor analysis was evaluated and its internal consistency was determined by calculating Cronbach's alpha.

RESULTS

The questionnaire is composed of six factors with a Likert-type scale. Its consistency showed a Crombach´s alpha of 0.94. The factor structure included 29 reagents that correlated with the six dimensions with factorial loads>0.581 that explained 66.8% of the total variance.

CONCLUSIONS

The patient satisfaction questionnaire incorporates the sociocultural characteristics of the target population and has an adequate level of validity and reliability and is quick and easy in application.

摘要

目的

开发一种工具,以评估墨西哥城(墨西哥社会保障局)初级医疗保健服务患者的满意度,该工具需适应当地人群的社会文化特征,并检验其信效度。

方法

使用自然语义网络技术设计该工具的条目。所采用的维度是根据文献确定的。研究对象包括在八个墨西哥社会保障局医疗中心就诊的230名2型糖尿病成年患者。随后,通过预试验确定其清晰度,然后通过探索性因素分析评估该工具的结构效度,并通过计算克朗巴哈系数来确定其内部一致性。

结果

该问卷由六个采用李克特量表的因素组成。其一致性显示克朗巴哈系数为0.94。因素结构包括29个条目,这些条目与六个维度相关,因子载荷>0.581,解释了总方差的66.8%。

结论

患者满意度问卷纳入了目标人群的社会文化特征,具有足够的效度和信度,且应用快速简便。

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