Norwegian Institute of Public Health, PO Box 222 Skoyen, Oslo, 0213, Norway.
BMC Health Serv Res. 2022 Jul 11;22(1):897. doi: 10.1186/s12913-022-08307-5.
The increasing emphasis on patient-centred care has accelerated the demand for high-quality assessment instruments, but the development and application of measures of the quality of care provided for mental health have lagged behind other areas of medicine. The main objective of this study was to determine the psychometric properties of the Psychiatric Inpatient Patient Experience Questionnaire - Continuous Electronic Measurement (PIPEQ-CEM), which consists of large-scale measurements from a Norwegian population. The change from cross-sectional surveys to continuous measurements necessitated further validation of the instrument. The secondary objective was to develop a short version of the PIPEQ-CEM.
The data included responses from the first year of continuous measurement, and included adult inpatients (age ≥ 18 years) who received specialized mental healthcare from 191 different sections in Norway (n = 3,249). Missing data, ceiling effects, factor structure and internal consistency levels were assessed. The short scale was developed by exploring missing items, ceiling effects, results from exploratory factor analysis (EFA) and item performance from item response theory (IRT) analyses.
Psychometric testing supported previous results and illustrated that the PIPEQ-CEM comprises three empirically based scales with good internal consistency, reliability and validity, and covers structure and facilities, patient-centred interactions, and outcomes. A seven-item short form was developed, which provides an efficient approach for brief yet comprehensive measurements that can be applied in the future.
The PIPEQ-CEM can be recommended for use in future national surveys that assess patient experience with inpatient psychiatric care in Norway and in other countries with similar healthcare systems. The short form can be applied where respondent burden and cognitive load are crucial issues.
越来越强调以患者为中心的护理，这加速了对高质量评估工具的需求，但精神卫生保健服务质量措施的制定和应用落后于其他医学领域。本研究的主要目的是确定由挪威人群进行的大规模测量组成的精神科住院患者体验问卷 - 连续电子测量（PIPEQ-CEM）的心理测量特性。从横断面调查到连续测量的转变需要进一步验证该工具。次要目的是开发 PIPEQ-CEM 的简短版本。
该数据包括连续测量的第一年的响应，包括来自挪威 191 个不同科室的接受专门精神卫生保健的成年住院患者（年龄≥18 岁）（n=3249）。评估缺失数据、天花板效应、因子结构和内部一致性水平。简短版本是通过探索缺失项、天花板效应、探索性因素分析（EFA）的结果以及项目反应理论（IRT）分析中的项目表现来开发的。
心理测量测试支持了先前的结果，并表明 PIPEQ-CEM 由三个基于经验的量表组成，具有良好的内部一致性、可靠性和有效性，涵盖了结构和设施、以患者为中心的互动以及结果。开发了一个七项简短形式，为未来的全国调查提供了一种有效的方法，用于评估挪威和其他具有类似医疗保健系统的国家的住院精神病护理患者体验。在响应者负担和认知负荷至关重要的情况下，可以应用简短形式。
PIPEQ-CEM 可推荐用于未来评估挪威和其他具有类似医疗保健系统的国家的住院精神病护理患者体验的全国性调查。简短形式可以应用于响应者负担和认知负荷至关重要的情况。
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