Wunadavalli Laxmi Tej, Satpathy Sidhartha, Satapathy Sujata, Singh Sheetal, Singh Angel Rajan, Kumar Chadda Rakesh, Tiwari Shraddhesh Kumar, Barre Vijay Prasad
Department of Hospital Administration, National Cancer Institute, Jhajjar, AIIMS, New Delhi, India.
Department of Psychiatry, AIIMS, New Delhi, India.
J Patient Exp. 2022 Mar 23;9:23743735221086762. doi: 10.1177/23743735221086762. eCollection 2022.
Patients' appraisal of health care delivery system and services during COVID-19 could be an important yardstick for hospital administration and policy makers. The study attempted to develop and test the psychometric properties of a new patient satisfaction scale for COVID-19 patients. A total of 446 COVID-19-hospitalized COVID-19 patients in a tertiary care designated COVID-19 care hospital constituted the sample. Factor structure of scale was obtained using exploratory factor analysis (EFA). Internal consistency, split-half reliability, and validity (e.g., content, convergent, and divergent) were also evaluated. Item reduction resulted in a 21-item scale consisting of three factors, namely COVID-19-focused treatment facility, COVID-19-appropriate hospital facility, and COVID-19-specific daily needs service facility. It demonstrated excellent internal consistency and reliability (Cronbach's alpha [α]: 0.93; Split-half reliability: 0.90), excellent content validity, and adequate convergent and divergent validity. The scale had no floor effects. Inter-index correlations were significant. this scale is the first such psychometrically robust self-rated scale for patients' perception about hospital services during COVID-19. Available in both Hindi and English languages, the scale provides a quick measure of patient experience regarding CCOVID-19-specific hospital services.
患者对新冠疫情期间医疗保健提供系统和服务的评价可能是医院管理部门和政策制定者的一个重要衡量标准。该研究试图开发并测试一种针对新冠患者的新型患者满意度量表的心理测量特性。一所指定的三级新冠护理医院中，共有446名因新冠住院的患者构成了样本。使用探索性因素分析（EFA）获得量表的因素结构。还评估了内部一致性、分半信度和效度（如内容效度、收敛效度和区分效度）。项目缩减后形成了一个由21个项目组成的量表，包括三个因素，即针对新冠的治疗设施、适合新冠的医院设施以及特定于新冠的日常需求服务设施。它表现出了出色的内部一致性和信度（克朗巴哈系数[α]：0.93；分半信度：0.90）、出色的内容效度以及足够的收敛效度和区分效度。该量表没有地板效应。各指标间的相关性显著。这个量表是首个在心理测量方面表现稳健的、用于患者对新冠疫情期间医院服务感知的自评量表。该量表有印地语和英语两种版本，能快速衡量患者对特定于新冠的医院服务的体验。
