Validation of a French hospitalized patients' satisfaction questionnaire: the QSH-45

被引:26
作者
Antoniotti, Stephanie [1 ]
Baumstarck-Barrau, Karine [5 ]
Simeoni, Marie-Claude [1 ]
Sapin, Christophe [1 ]
Labarere, Jose [2 ]
Gerbaud, Laurent [3 ]
Boyer, Laurent [1 ]
Colin, Cyril [4 ]
Francois, Patrice [2 ]
Auquier, Pascal [1 ]
机构
[1] Assistance Publ Hop Marseille, Dept Publ Hlth, Univ Hosp, Marseille, France
[2] CHU La Tronche, Dept Med Evaluat, Grenoble, France
[3] CHU Clermont Ferrand, Dept Publ Hlth, Clermont Ferrand, France
[4] Hosp Civils Lyon, Dept Med Informat, Lyon, France
[5] Assistance Publ Hop Marseille, Dept Clin Res, Marseille, France
关键词
inpatient satisfaction; questionnaire; psychometric properties; validity; reliability; INPATIENT SATISFACTION; HEALTH-CARE; QUALITY IMPROVEMENT; THORACIC-SURGERY; SYSTEM; PERCEPTIONS; RELIABILITY; PREDICTORS; VALIDITY; IMPACT;
D O I
10.1093/intqhc/mzp021
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To develop a generic French self-administered instrument for measuring hospitalized patients' satisfaction based on the patient's point of view: the questionnaire for satisfaction of hospitalized (QSH) patients. The development was supervised by a steering committee and undertaken through three standard steps. Item generation was derived from 95 face-to-face interviews, performed in hospitalized patients and in patients scheduled to be admitted. The item reduction led to a 69-item questionnaire. The validation process was based on validity, reliability and some aspects of external validity. Medical, surgical and obstetrical departments (n = 187) of public hospitals (n = 11) from different French regions (n = 3). Eligible patients were adult subjects hospitalized for at least 24 h. QSH, sociodemographic data, hospitalization department, visual analogue scales of satisfaction. The final version of QSH contained 45 items describing 9 dimensions, leading to 2 composite scores (staff and structure index). The factor structure accounted for 71% of the total variance. Internal consistency was satisfactory (item-internal consistency over 0.40; Cronbach's alpha coefficients ranged from 0.76 to 0.96). The scalability was satisfactory with inlier-sensitive fit (INFIT) statistics inside an acceptable range. Scores of dimensions were strongly positively correlated with visual analogue scale scores (all P < 0.001). External validity showed statistical associations between QSH scores and age or department. Participation rate was 91%. The availability of a reliable and valid French questionnaire concerning hospitalized patients' satisfaction, exclusively generated from patients' interviews, enables patient feedback to be incorporated in a continuous quality health-care improvement strategy.
引用
收藏
页码:243 / 252
页数:10
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