McCusker J
Med Care. 1984 May;22(5):476-93. doi: 10.1097/00005650-198405000-00011.
This report describes efforts to develop and test scales for measuring attitudes toward the medical care of chronically and terminally ill patients and their families. The following satisfaction scales were developed: General Satisfaction, Availability of Care, Continuity of Care, Physician Availability, Physician Competence, Personal Qualities of Physician, Communication with Physician, Involvement of Patient and Family in Treatment Decisions, Freedom from Pain, and Pain Control. Preference scales were developed to measure preference for home care and preference for physician decisions. These scales were tested in two independent study samples: Home Care Study subjects--patients and their caretakers enrolled in a trial to evaluate a new method of home care for chronically and terminally ill homebound patients; and Terminal Care Study subjects--surviving relatives of a random sample of cancer patients who died. The internal consistency, discriminant validity, and convergent validity of each scale were assessed by means of item-total correlations, Cronbach 's alpha, and comparison with other questionnaire items. The results supported the use of several scales in their original form. Recommendations are made for appropriate modifications in the remaining scales.
本报告描述了开发和测试用于衡量对慢性病患者、晚期患者及其家属医疗护理态度的量表的工作。开发了以下满意度量表：总体满意度、护理可及性、护理连续性、医生可及性、医生能力、医生个人品质、与医生的沟通、患者及家属参与治疗决策、免于疼痛和疼痛控制。还开发了偏好量表来衡量对居家护理的偏好以及对医生决策的偏好。这些量表在两个独立的研究样本中进行了测试：居家护理研究对象——参加评估针对居家慢性病患者和晚期患者新居家护理方法试验的患者及其护理人员；以及临终护理研究对象——随机抽取的已故癌症患者的在世亲属。通过项目-总分相关性、克朗巴哈系数α以及与其他问卷项目的比较，对每个量表的内部一致性、区分效度和聚合效度进行了评估。结果支持以原始形式使用几个量表。针对其余量表提出了适当修改的建议。
