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阿曼三级医院患者体验评估量表(PXAS)的开发与验证

Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman.

作者信息

Al-Bulushi Naima Khamis, Al-Mukhaini Zainab Ali, Al Fannah Jehan, Al Zadjali Afaf Ali, Al Zidi Huda, Al-Balushi Zubaida Mahmood, Al-Hadidi Aida Khalfan, Al-Adawi Samir

机构信息

Royal Hospital, Muscat, Oman.

Medical Services, Diwan Polyclinic, Muscat, Oman.

出版信息

J Patient Exp. 2025 Feb 2;12:23743735241311090. doi: 10.1177/23743735241311090. eCollection 2025.

DOI:10.1177/23743735241311090
PMID:39901922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11789113/
Abstract

Evaluating the patient's perspective is crucial for high-quality healthcare. Traditional satisfaction surveys have limitations due to subjectivity. Valid ecological measures are lacking in non-western populations. Validate (PXAS) for tertiary care hospital. The development of PXAS involved domain identification, scale creation, language review, and validity assessment. Experts crafted a 12-question scale with a net promoter score (NPS). Language experts reviewed for clarity and equivalence. The content and face validity were evaluated using the content validity index (CVI) and the face validity index. SPSS analyzed data for reliability and test-retest over 3 to 4 weeks. 464 participants were included, mainly aged 31 to 40, participated. PXAS showed good reliability (Cronbach's alpha = 0.88) and test-retest (r = 0.72). The content validity (I-CVI: 0.83-1.0; S-CVI = 0.93) and the validity of the face (98.3% agreement) were excellent. Most were satisfied (45% excellent and 41.2% very good), and 37% would highly recommend the hospital. PXAS is reliable and valid scale to assess the patient experience in tertiary hospitals. Further studies of its properties are warranted.

摘要

评估患者的观点对于高质量医疗保健至关重要。传统的满意度调查由于主观性存在局限性。非西方人群缺乏有效的生态测量方法。用于三级医院的患者体验评估量表(PXAS)。PXAS的开发涉及领域识别、量表创建、语言审核和效度评估。专家们制定了一个包含12个问题的量表,并计算净推荐值(NPS)。语言专家对其清晰度和等效性进行了审核。使用内容效度指数(CVI)和表面效度指数评估内容效度和表面效度。运用SPSS分析数据的可靠性,并在3至4周内进行重测。纳入了464名参与者,主要年龄在31至40岁。PXAS显示出良好的信度(克朗巴哈系数α = 0.88)和重测信度(r = 0.72)。内容效度(I-CVI:0.83 - 1.0;S-CVI = 0.93)和表面效度(一致性为98.3%)都非常出色。大多数人表示满意(45%为优秀,41.2%为非常好),37%的人会强烈推荐该医院。PXAS是评估三级医院患者体验的可靠且有效的量表。有必要对其特性进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/11789113/75b1e473f23b/10.1177_23743735241311090-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/11789113/75b1e473f23b/10.1177_23743735241311090-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d043/11789113/75b1e473f23b/10.1177_23743735241311090-fig1.jpg

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本文引用的文献

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Measuring Patient Experience and Patient Satisfaction-How Are We Doing It and Why Does It Matter? A Comparison of European and U.S. American Approaches.衡量患者体验与患者满意度——我们是如何进行的以及为何重要?欧美方法比较
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Development and Validation of Questionnaire to Assess Knowledge about Cervical Cancer among Women Aged 20 to 65 years in Oman.评估 20 至 65 岁阿曼女性对宫颈癌认知的问卷的制定与验证。
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患者体验岗位所需的资质和技能。
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The measurement of patients' expectations for health care: a review and psychometric testing of a measure of patients' expectations.患者对医疗保健期望的测量:对患者期望测量的综述和心理测量学测试。
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