Division of Clinical Epidemiology, The Jikei University School of Medicine, Tokyo, Japan.
Section of Clinical Epidemiology, Department of Community Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
PLoS One. 2021 Apr 28;16(4):e0250843. doi: 10.1371/journal.pone.0250843. eCollection 2021.
The Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS) is one of the most widely studied and endorsed patient experience measures for ambulatory care. This study aimed to develop a Japanese CG-CAHPS and examine its psychometric properties. We evaluated the structural validity, criterion-related validity, internal consistency reliability, and site-level reliability of the scale. Data were analyzed for 674 outpatients aged 18 years or older in 11 internal medicine clinics. The confirmatory factor analysis supported the scale's structural validity and the same composites (Access, Provider Communication, Care Coordination, and Office Staff) as that of the original CG-CAHPS. All site-level Pearson correlation coefficients between the Japanese CG-CAHPS composites and overall provider rating exceeded the criteria. Results of item-total correlations and Cronbach's alpha indicated adequate internal consistency reliability. We developed the Japanese CG-CAHPS and examined its validity and reliability to measure the quality of ambulatory care based on patient experience. The results of the Japanese CG-CAHPS survey will provide useful information to providers, organizations, and policy makers for achieving a patient-centered healthcare system in Japan.
《医疗保健提供者和系统患者评估临床医生和小组调查》（CG-CAHPS）是用于门诊护理中最广泛研究和认可的患者体验测量方法之一。本研究旨在开发日本 CG-CAHPS 并检验其心理测量学特性。我们评估了该量表的结构有效性、效标关联效度、内部一致性信度和现场水平信度。对 11 个内科诊所的 674 名 18 岁或以上的门诊患者进行了数据分析。验证性因素分析支持了该量表的结构有效性，以及与原始 CG-CAHPS 相同的综合指标（可及性、提供者沟通、护理协调和办公室工作人员）。日本 CG-CAHPS 综合指标与整体提供者评分之间的所有现场水平 Pearson 相关系数均超过标准。项目总分相关性和 Cronbach's alpha 的结果表明，内部一致性信度充足。我们开发了日本 CG-CAHPS，并检验了其有效性和可靠性，以根据患者体验来衡量门诊护理的质量。日本 CG-CAHPS 调查的结果将为提供者、组织和决策者在日本实现以患者为中心的医疗保健系统提供有用的信息。
