Carey R G, Seibert J H
Department of Quality Measurement, Lutheran General HealthSystem, Park Ridge, IL.
Med Care. 1993 Sep;31(9):834-45. doi: 10.1097/00005650-199309000-00008.
This study describes the results of a four-year research effort to develop inpatient and outpatient questionnaires that have sufficient validity and reliability to be used to measure patient perceptions of quality. As part of this effort, over 50,000 inpatients, emergency room patients, and ambulatory surgery patients from over 300 hospitals representing every US census region were surveyed. Separate questionnaires, called Quality of Care Monitors, were developed for inpatients and outpatients. The inpatient questionnaire consisted of 8 scales: Physician Care, Nursing Care, Medical Outcome, Courtesy, Food Service, Comfort and Cleanliness, Admissions/Billing, and Religious Care. The outpatient questionnaire had 7 scales: Physician Care, Nursing Care, Medical Outcome, Facility Characteristics, Waiting Time, Testing Services and Registration Process. The study found strong evidence of construct validity, predictive validity, and internal consistency for both questionnaires. Each questionnaire is capable of measuring separate dimensions of patient experience. A data bank developed from these questionnaires is currently accessed regularly by participating hospitals to assess quality improvement and to make benchmark comparisons with similar hospitals.
本研究描述了一项为期四年的研究成果，该研究旨在开发住院患者和门诊患者问卷，这些问卷具有足够的效度和信度，可用于衡量患者对医疗质量的看法。作为这项工作的一部分，对代表美国每个普查区域的300多家医院的50000多名住院患者、急诊患者和门诊手术患者进行了调查。为住院患者和门诊患者分别开发了名为“护理质量监测器”的问卷。住院患者问卷包括8个量表：医生护理、护士护理、医疗结果、礼貌、餐饮服务、舒适度和清洁度、入院/计费以及宗教关怀。门诊患者问卷有7个量表：医生护理、护士护理、医疗结果、设施特征、等待时间、检测服务和挂号流程。该研究发现，这两份问卷在结构效度、预测效度和内部一致性方面都有有力证据。每份问卷都能够衡量患者体验的不同维度。参与研究的医院目前定期访问从这些问卷中建立的数据库，以评估质量改进情况，并与类似医院进行基准比较。
