Dimova Rositsa, Stoyanova Rumyana, Keskinova Donka
Rositsa Dimova, Department of Health Management and Health Economics, Faculty of Public Health, Medical University of Plovdiv, 15a V. Aprilov Blvd, Plovdiv 4002, Bulgaria.
Croat Med J. 2017 Feb 28;58(1):63-74. doi: 10.3325/cmj.2017.58.63.
To validate the Bulgarian EUROPEP-questionnaire and its implementation to measure patient evaluation of general practice care in Bulgarian population.
A multicenter cross-sectional study was conducted at twenty five primary care practices from South-Central Region of Bulgaria. A total of 1000 adult patients aged over 18 years and visiting the practice for more than a year were approached consecutively to take part in the study. The internal consistency and test-retest reliability of the EUROPEP questionnaire were evaluated. To confirm the construct validity of the questionniare, еxplanatory factor analysis was performed.
Cronbach'alpha for "clinical behaviour" is 0.95 and for "organisation of care" 0.81. Factor analysis identifed two factors, which accounted for 77.0% of the total variation in these items. On average, 58.7% of respondents rated the level of care received as excellent. The waiting time in the waiting room was the item most poorly rated (33.8%). The item "keeping patients' records and data confidential" was the most highly rated (88.8%). Patients were less satisfied with "providing quick services for urgent health problems" (78.5% excellent or good) and "getting an appropriate for them appointment" (76.2% excellent or good).
Two scales with satisfactory psychometric properties were established in the Bulgarian version of the EUROPEP-questionnaire. The study identified areas requiring improvement in general practice, such as reduction in waiting times and obtaining patient's convenience appointment.
验证保加利亚版欧洲患者满意度调查问卷（EUROPEP-问卷）及其在衡量保加利亚人群对全科医疗服务评价中的应用。
在保加利亚中南部地区的25家基层医疗诊所开展了一项多中心横断面研究。连续邀请了1000名年龄在18岁以上、就诊超过一年的成年患者参与研究。评估了EUROPEP问卷的内部一致性和重测信度。为确认问卷的结构效度，进行了解释性因子分析。
“临床行为”方面的Cronbach'α系数为0.95，“医疗服务组织”方面为0.81。因子分析确定了两个因子，它们占这些项目总变异的77.0%。平均而言，58.7%的受访者将所接受的医疗服务水平评为优秀。候诊室的等待时间是评分最低的项目（33.8%）。“对患者记录和数据保密”这一项目评分最高（88.8%）。患者对“为紧急健康问题提供快速服务”（78.5%为优秀或良好）和“为他们安排合适的预约”（76.2%为优秀或良好）的满意度较低。
保加利亚版EUROPEP-问卷建立了两个具有令人满意心理测量特性的量表。该研究确定了全科医疗中需要改进的领域，如减少等待时间和实现患者方便的预约。
