Nezamdoost Faezeh, Najar Ali Vafaei, Zarqi Marziye, Jamali Jamshid, Tabatabaei Seyed Saeed, Hooshmand Elaheh
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Management sciences and health Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
BMC Health Serv Res. 2025 Jan 13;25(1):62. doi: 10.1186/s12913-025-12208-8.
Understanding patient experience is crucial for advancing patient-centered care and improving hospital service quality. This study aimed to design and validate a Persian version of a patient experience assessment questionnaire to evaluate hospital services.
This descriptive-analytical study on tool development was conducted cross-sectionally during 2021-2022 in Iran. The study consisted of two stages: (1) In the first stage, a deductive approach and comprehensive literature review were employed to develop the initial questionnaire items, based on the framework from prior research titled "Developing a Model for Evaluating Patient Experience in Teaching Hospitals in Iran." (2) In the second stage, validation was carried out by assessing face validity, content validity (using expert panels to evaluate the Content Validity Index (CVI) and Content Validity Ratio (CVR)), and construct validity through confirmatory factor analysis. Sampling for the face validity stage included 30 randomly selected patients, while construct validity was assessed with a sample of 340 participants, of which 300 provided complete and valid data. Reliability was determined using internal consistency (Cronbach's alpha) and stability (intra-cluster correlation coefficient) measures.
The initial questionnaire comprised 44 items. Following expert reviews and validation processes, 10 items were removed, resulting in a final version with 33 items. The confirmatory factor analysis confirmed the five-dimensional structure, with a Cronbach's alpha of 0.97 and an intra-cluster correlation coefficient of 0.89, indicating strong internal consistency and reliability.
This study successfully developed and validated a 33-item questionnaire for assessing patient experience in Iranian hospitals, ensuring cultural relevance and robust psychometric properties.
了解患者体验对于推进以患者为中心的护理和提高医院服务质量至关重要。本研究旨在设计并验证一份波斯语版的患者体验评估问卷，以评估医院服务。
这项关于工具开发的描述性分析研究于2021 - 2022年在伊朗进行横断面研究。该研究包括两个阶段：（1）在第一阶段，采用演绎法和全面的文献综述，基于先前题为“开发伊朗教学医院患者体验评估模型”的研究框架，制定初始问卷项目。（2）在第二阶段，通过评估表面效度、内容效度（使用专家小组评估内容效度指数（CVI）和内容效度比率（CVR））以及通过验证性因素分析进行结构效度验证。表面效度阶段的抽样包括30名随机选择的患者，而结构效度则以340名参与者为样本进行评估，其中300名提供了完整有效的数据。可靠性通过内部一致性（克朗巴哈系数）和稳定性（组内相关系数）测量来确定。
初始问卷包括44个项目。经过专家评审和验证过程，删除了10个项目，最终版本为33个项目。验证性因素分析证实了五维结构，克朗巴哈系数为0.97，组内相关系数为0.89，表明具有很强的内部一致性和可靠性。
本研究成功开发并验证了一份用于评估伊朗医院患者体验的33项问卷，确保了文化相关性和强大的心理测量特性。
