Atenció a la Salut Sexual i Reproductiva, Institut Català de la Salut, Granollers, Barcelona, Spain.
GRASSIR Research Group, IDIAPJGol, Generalitat de Catalunya (SGR 2014-2016), Barcelona, Spain.
BMC Womens Health. 2022 May 28;22(1):196. doi: 10.1186/s12905-022-01763-5.
Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone by a healthcare professional and of the self-administration 800 mg of misoprostol by the patient at home, along with prescribed analgesics. However, the quality of this process as perceived by patients has never been assessed. This study aims to validate a scale designed to assess the perceived quality of the entire process, structure and results of at-home medical abortion.
Validation study of a Spanish adaptation of the SERVPERF scale. In total, 289 patients completed a self-administered questionnaire consisting of 26 items previously evaluated by a group of experts. A re-test was performed on 53 of these patients 15 days later to assess interobserver consistency.
The highest non-response rate for any single item was 2.1%. The floor effect was 26% and the ceiling effect did not surpass 83%. The linearly weighted Kappa coefficient was good to excellent, in general. An exploratory factor analysis was performed with Varimax rotation, obtaining a total of 7 dimensions that explain 65.9% of the variability. The internal consistency (Cronbach's alpha) for all items was 0.862.
This psychometric instrument is valid and reliable for assessing the quality of care of medical abortion. Medical abortion is efficient, effective and eliminates the need for hospital care, anesthesia and surgical risk. However, user satisfaction has yet to be determined. This study offers a validated scale to assess perceived quality of care, their quality experience and person-centered care for abortion as a fundamental part of overall service quality as a fundamental part of overall service quality.
西班牙第 2/2010 号组织法将妊娠 14 周内的堕胎合法化。米非司酮和米索前列醇药物流产的有效率约为 97%，在妊娠前 9 周内可在初级保健中心提供。该方法包括由医疗保健专业人员给药 200 毫克米非司酮，以及患者在家中自行给药 800 毫克米索前列醇，并开具规定的镇痛药。然而，患者对这一过程的质量评估从未进行过。本研究旨在验证一种专门用于评估在家中进行的药物流产整个过程、结构和结果的感知质量的量表。
对 SERVPERF 量表的西班牙语版本进行验证研究。共有 289 名患者完成了一份由专家组预先评估的 26 项的自我管理问卷。其中 53 名患者在 15 天后进行了重测，以评估观察者间的一致性。
任何单一项目的最高非响应率为 2.1%。地板效应为 26%，上限效应不超过 83%。线性加权 Kappa 系数总体上为良好至优秀。采用 Varimax 旋转进行探索性因子分析，共得到 7 个维度，可解释 65.9%的变异性。所有项目的内部一致性（Cronbach's alpha）为 0.862。
该心理计量工具可用于评估药物流产护理的质量，具有良好的信度和效度。药物流产效率高、效果好，可避免住院治疗、麻醉和手术风险。然而，用户满意度尚未确定。本研究提供了一种经过验证的量表，用于评估对堕胎的护理质量、体验质量和以患者为中心的护理，这是服务质量整体的基本组成部分。
