Mourad Selma M, Curtis Cate, Gudex Guy, Merrilees Margaret, Peek John, Sadler Lynn
Department of Obstetrics and Gynaecology, Radboudumc, Nijmegen, The Netherlands.
School of Psychology, University of Waikato, Hamilton, New Zealand.
Aust N Z J Obstet Gynaecol. 2019 Apr;59(2):265-271. doi: 10.1111/ajo.12869. Epub 2018 Aug 13.
The Patient-Centred Questionnaire-Infertility (PCQ-Infertility) has proven to be a reliable instrument to assess the extent of patient-centredness of fertility care in European countries.
To validate the PCQ-Infertility in New Zealand (NZ) and to compare results with international experience.
A cross-sectional 46-item questionnaire study among 409 women undergoing publicly funded fertility care (intrauterine insemination or in vitro fertilisation / intracytoplasmic sperm injection) in three fertility clinics in the Northern Auckland region was performed between October 2015 and September 2016. Inclusion of eligible participants was both retro- and prospective. The questionnaire was distributed by email link and women were asked to complete it with their partner. Internal consistency and construct validity were determined and correction for case mix was performed. Mean dimension scores, adjusted for 'current pregnancy', 'educational level' and 'treatment type', were calculated for each dimension of the PCQ-Infertility. NZ results were compared with PCQ-Infertility results from five countries.
Of 409 invited women, 255 questionnaires were submitted (response rate 62%), of which 216 (53%) were analysable. The dimension 'Care organization' had poor internal consistency, but overall the questionnaire had high internal consistency (Cronbach's α = 0.93). Construct validity was also good. International comparison showed NZ to have the second highest overall score. In New Zealand, the lowest scoring domain was 'Continuity and transition'.
The NZ version of the PCQ-infertility proved a valid instrument for the assessment of patient-centredness of publicly funded fertility care. Future research should focus on international inequities in patient-centred fertility care and use of the tool for quality improvement. Local use of the PCQ-Infertility is encouraged.
以患者为中心的不孕症问卷（PCQ - 不孕症）已被证明是评估欧洲国家生育护理以患者为中心程度的可靠工具。
在新西兰（NZ）验证PCQ - 不孕症问卷，并将结果与国际经验进行比较。
2015年10月至2016年9月期间，在奥克兰北部地区的三家生育诊所对409名接受公共资助生育护理（宫内人工授精或体外受精/卵胞浆内单精子注射）的女性进行了一项横断面的46项问卷调查研究。符合条件的参与者纳入既有回顾性的也有前瞻性的。问卷通过电子邮件链接分发，要求女性与伴侣一起完成。确定了内部一致性和结构效度，并对病例组合进行了校正。针对PCQ - 不孕症问卷的每个维度，计算了经“当前妊娠情况”、“教育水平”和“治疗类型”调整后的平均维度得分。将新西兰的结果与五个国家的PCQ - 不孕症问卷结果进行了比较。
在409名受邀女性中，提交了255份问卷（回复率62%），其中216份（53%）可用于分析。“护理组织”维度的内部一致性较差，但总体而言问卷具有较高的内部一致性（Cronbach's α = 0.93）。结构效度也良好。国际比较显示新西兰的总体得分第二高。在新西兰，得分最低的领域是“连续性和过渡”。
新西兰版的PCQ - 不孕症问卷被证明是评估公共资助生育护理以患者为中心程度的有效工具。未来的研究应关注以患者为中心的生育护理方面的国际不平等现象，以及使用该工具进行质量改进。鼓励在当地使用PCQ - 不孕症问卷。
