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评估患者对自动发药系统满意度的问卷的验证

Validation of a Questionnaire to Assess Patient Satisfaction with an Automated Drug Dispensing System.

作者信息

Amirthalingam Palanisamy, Alharbe Umar Abdolah, Almfalh Hanad S S, Alqifari Saleh F, Alatawi Ahmed D, Aljabri Ahmed, Ali Mostafa A Sayed

机构信息

Department of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk 71491, Saudi Arabia.

Pharmaceutical Care Department, King Fahad Specialist Hospital, Tabuk 47717, Saudi Arabia.

出版信息

Healthcare (Basel). 2024 Aug 12;12(16):1598. doi: 10.3390/healthcare12161598.

Abstract

BACKGROUND AND OBJECTIVES

Automated drug dispensing systems (ADDs) have been introduced to improve the efficiency of dispensing and patient safety. The available questionnaires measure patient satisfaction with particular aspects of ADDs. Also, the level of patient satisfaction with ADDs is not widely established. This study aimed to develop and validate a novel questionnaire to assess patient satisfaction with ADDs.

METHODS

Content and construct validity procedures were used to validate the 20-item questionnaire with four domains, including pharmacy administration, dispensing practice, patient education, and the dispensing system. Two hundred consenting participants took part in this study, from those who visited the outpatient pharmacy in a government hospital.

RESULTS

The internal consistency of all four scale items shows acceptable reliability (>0.7). In the exploratory factor analysis, three items were removed due to poor factor loading and cross-loading. In the confirmatory factor analysis, the model has acceptable fit indices, including the comparative fit index (0.937), Tucker-Lewis's index (0.924), standardized root mean square residual (0.051), root mean square error of approximation (0.057), and χ/df (1.67). The convergent and discriminant validity were established, since the average variance extracted (AVE) was ≥0.5 and the squared correlation (SC) values of one construct with other constructs were less than the AVE of the specific construct.

CONCLUSION

This study offered a reliable and valid 17-item questionnaire incorporating a multi-dimensional four-factor model to evaluate patient satisfaction with ADDs. The validated questionnaire can be utilized to explore patients' perspectives on ADDs.

摘要

背景与目的

自动发药系统(ADDs)已被引入以提高发药效率和患者安全性。现有的问卷用于测量患者对ADDs特定方面的满意度。此外,ADDs的患者满意度水平尚未广泛确立。本研究旨在开发并验证一种新型问卷,以评估患者对ADDs的满意度。

方法

采用内容效度和结构效度程序对包含药学管理、发药实践、患者教育和发药系统四个领域的20项问卷进行验证。200名同意参与的参与者来自一家政府医院门诊药房的就诊者。

结果

所有四个量表项目的内部一致性显示出可接受的信度(>0.7)。在探索性因素分析中,由于因素载荷和交叉载荷不佳,删除了三个项目。在验证性因素分析中,模型具有可接受的拟合指数,包括比较拟合指数(0.937)、塔克-刘易斯指数(0.924)、标准化均方根残差(0.051)、近似均方根误差(0.057)和χ/df(1.67)。由于提取的平均方差(AVE)≥0.5,且一个构念与其他构念的平方相关(SC)值小于特定构念的AVE,因此建立了收敛效度和区分效度。

结论

本研究提供了一份可靠且有效的17项问卷,该问卷纳入了多维四因素模型,用于评估患者对ADDs的满意度。经过验证的问卷可用于探索患者对ADDs的看法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a99c/11353274/6e030ec27026/healthcare-12-01598-g001.jpg

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