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门诊患者满意度快速量表的效度与信度

Validity and consistency of an outpatient department user satisfaction rapid scale.

作者信息

García-Galicia Arturo, Díaz-Díaz José Francisco, Montiel-Jarquín Álvaro José, González-López Akihiki Mizuki, Vázquez-Cruz Eduardo, Morales-Flores Carlos Francisco

机构信息

Centro Médico Nacional "General de División Manuel Ávila Camacho", Hospital de Traumatología y Ortopedia; Puebla, México.

Hospital General de Zona 20; Hospital de Especialidades; Puebla, México.

出版信息

Gac Med Mex. 2020;156(1):47-52. doi: 10.24875/GMM.19005144.

Abstract

BACKGROUND

User satisfaction is key to define and assess the quality of care; however, there is no patient satisfaction rapid scale in Mexico. Our objective was to determine the validity and consistency of an outpatient department user satisfaction rapid scale (ERSaPaCE).

METHOD

Comparative, observational, cross-sectional, prolective study. In phase 1, a rapid scale model was developed, which was submitted to experts in medical care for assessment; the instrument was pilot-tested in 10-patient groups, using as many rounds as required until it obtained 20 approvals. In phase 2, the resulting questionnaire and the Outpatient Service User Satisfaction (SUCE) scale were applied to outpatient department users. ERSaPaCE was reapplied by telephone 10 days later. Descriptive statistics, Cronbach's a, Spearman's correlation and intra-class correlation coefficient (ICC) were used.

RESULTS

Two-hundred patients were recruited, out of which 53 % were aged 31-60 years; 51.5 % were women and 48.5 % men, all of them users of the outpatient services from 13 specialties. Cronbach's a for ERSaPaCE was 0.608, whereas ICC was 0.98 (p = 0.000). Convergent validity was 0.681 (p = 0.000) using Spearman's rho.

CONCLUSION

ERSaPaCE was a valid and consistent instrument for the assessment of outpatient department user satisfaction.

摘要

背景

用户满意度是定义和评估医疗质量的关键;然而,墨西哥尚无患者满意度快速量表。我们的目标是确定门诊用户满意度快速量表(ERSaPaCE)的有效性和一致性。

方法

比较性、观察性、横断面、前瞻性研究。在第1阶段,开发了一个快速量表模型,并提交给医疗专家进行评估;该工具在10个患者组中进行了预测试,根据需要进行多次轮次测试,直至获得20次认可。在第2阶段,将最终问卷和门诊服务用户满意度(SUCE)量表应用于门诊用户。10天后通过电话再次应用ERSaPaCE。使用描述性统计、克朗巴赫α系数、斯皮尔曼相关性和组内相关系数(ICC)。

结果

招募了200名患者,其中53%年龄在31至60岁之间;51.5%为女性,48.5%为男性,他们均为13个专科门诊服务的用户。ERSaPaCE的克朗巴赫α系数为0.608,而ICC为0.98(p = 0.000)。使用斯皮尔曼等级相关系数得出的收敛效度为0.681(p = 0.000)。

结论

ERSaPaCE是评估门诊用户满意度的有效且一致的工具。

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