Qolipour Mohammad, Torabipour Amin, Khiavi Farzad Faraji, Malehi Amal Saki
M.Sc. Student of Health Services Management, Department of Health Services Management, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Ph.D. of Health Services Management, Assistant Professor, Department of Health Services Management, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Electron Physician. 2017 Mar 25;9(3):3905-3911. doi: 10.19082/3905. eCollection 2017 Mar.
Assessing service quality is one of the basic requirements to develop the medical tourism industry. There is no valid and reliable tool to measure service quality of medical tourism. This study aimed to determine the reliability and validity of a Persian version of medical tourism service quality questionnaire for Iranian hospitals.
To validate the medical tourism service quality questionnaire (MTSQQ), a cross-sectional study was conducted on 250 Iraqi patients referred to hospitals in Ahvaz (Iran) from 2015. To design a questionnaire and determine its content validity, the Delphi Technique (3 rounds) with the participation of 20 medical tourism experts was used. Construct validity of the questionnaire was assessed through exploratory and confirmatory factor analysis. Reliability was assessed using Cronbach's alpha coefficient. Data were analyzed by Excel 2007, SPSS version18, and Lisrel l8.0 software.
The content validity of the questionnaire with CVI=0.775 was confirmed. According to exploratory factor analysis, the MTSQQ included 31 items and 8 dimensions (tangibility, reliability, responsiveness, assurance, empathy, exchange and travel facilities, technical and infrastructure facilities and safety and security). Construct validity of the questionnaire was confirmed, based on the goodness of fit quantities of model (RMSEA=0.032, CFI= 0.98, GFI=0.88). Cronbach's alpha coefficient was 0.837 and 0.919 for expectation and perception questionnaire.
The results of the study showed that the medical tourism SERVQUAL questionnaire with 31 items and 8 dimensions was a valid and reliable tool to measure service quality of medical tourism in Iranian hospitals.
评估服务质量是发展医疗旅游产业的基本要求之一。目前尚无有效且可靠的工具来衡量医疗旅游的服务质量。本研究旨在确定一份波斯语版医疗旅游服务质量问卷在伊朗医院中的信效度。
为验证医疗旅游服务质量问卷（MTSQQ），于2015年对转诊至阿瓦士（伊朗）医院的250名伊拉克患者进行了一项横断面研究。采用德尔菲技术（三轮），由20名医疗旅游专家参与设计问卷并确定其内容效度。通过探索性和验证性因素分析评估问卷的结构效度。使用克朗巴哈α系数评估信度。数据采用Excel 2007、SPSS 18版和Lisrel 8.0软件进行分析。
问卷的内容效度得到确认，CVI = 0.775。根据探索性因素分析，MTSQQ包含31个项目和8个维度（有形性、可靠性、响应性、保证性、移情性、交流与旅行设施、技术与基础设施设施以及安全保障）。基于模型的拟合优度指标（RMSEA = 0.032，CFI = 0.98，GFI = 0.88），问卷的结构效度得到确认。期望问卷和感知问卷的克朗巴哈α系数分别为0.837和0.919。
研究结果表明，这份包含31个项目和8个维度的医疗旅游SERVQUAL问卷是衡量伊朗医院医疗旅游服务质量有效且可靠的工具。
