Psychometric evaluation of the primary health-care satisfaction scale in Turkish women

Erci, Behice; Çiftçioğlu, Sibel

doi:10.1093/intqhc/mzq058

Cited by 10 publications

(14 citation statements)

References 12 publications

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“…All instruments found were developed in the English language and there were only six cross-cultural adaptation papers 26,30,32,33,34,35 . The adaptation process to other languages and cultures is not simple and the scrutiny made by different researches on distinct sociocultural contexts would help to develop a reliable instrument 61,62,63 .…”

Section: Discussionmentioning

confidence: 99%

“…Even though patient satisfaction has been widely studied in healthcare, no gold standard instrument or even a validated instrument was found for many different contexts 20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56 . The option to develop new instruments by the healthcare organizations can reflect the specificity of each culture or health settings, but, at the same time, this phenomenon can show a gap in state-of-the-art approaches in this area.…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent study design observed was instrument validation and only six cross-cultural adaptations were found 26,30,32,33,34,35 (Table 1). …”

Section: Methodological Qualitymentioning

confidence: 99%

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Satisfaction measurement instruments for healthcare service users: a systematic review

2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Satisfaction measurement instruments for healthcare service users: a systematic review

2015

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“…The authors found that chronically ill and healthy respondents experienced the same satisfaction with community care services. Several studies [29-31] discussed the questionnaire’s design, validity and reliability as it related to patient satisfaction which found that nursing and doctor categories were most notable, and several studies approached different aspects of patient satisfaction [32,33]. …”

Section: Introductionmentioning

confidence: 99%

On residents’ satisfaction with community health services after health care system reform in Shanghai, China, 2011

Hou

Lü

et al. 2012

BMC Public Health

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BackgroundHealth care system reform is a major issue in many countries and therefore how to evaluate the effects of changes is incredibly important. This study measured residents’ satisfaction with community health care service in Shanghai, China, and aimed to evaluate the effect of recent health care system reform.MethodsFace-to-face interviews were performed with a stratified random sample of 2212 residents of the Shanghai residents using structured questionnaires. In addition, 972 valid responses were retrieved from internet contact. Controlling for sex, age, income and education, the study used logistic regression modeling to analyze factors associated with satisfaction and to explain the factors that affect the residents’ satisfaction.ResultsComparing current attitudes with those held at the initial implementation of the reform in this investigation, four dimensions of health care were analyzed: 1) the health insurance system; 2) essential drugs; 3) basic clinical services; and 4) public health services. Satisfaction across all dimensions improved since the reform was initiated, but differences of satisfaction level were found among most dimensions and groups. Residents currently expressed greater satisfaction with clinical service (average score=3.79, with 5 being most satisfied) and the public health/preventive services (average score=3.62); but less satisfied with the provision of essential drugs (average score=3.20) and health insurance schemes (average score=3.23). The disadvantaged groups (the elderly, the retired, those with only an elementary education, those with lower incomes) had overall poorer satisfaction levels on these four aspects of health care (P<0.01). 25.39% of the respondents thought that their financial burden had increased and 38.49% thought that drugs had become more expensive.ConclusionThe respondents showed more satisfaction with the clinical services (average score=3.79) and public health services/interventions (average score=3.79); and less satisfaction with the health insurance system (average score=3.23) and the essential drug system (average score=3.20). Disadvantaged groups showed lower satisfaction levels overall relative to non-disadvantaged groups.

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“…There are, however, also several questionnaires in which different kinds of items are applied together. 2 , 5 – 7 , 19 – 21 These questionnaires cannot be clearly classified as either scales or indices. However, in all of these questionnaires, the majority of the items address causes.…”

Section: Patient Satisfaction Questionnairesmentioning

confidence: 99%

Which kind of psychometrics is adequate for patient satisfaction questionnaires?

Konerding¹

2016

PPA

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The construction and psychometric analysis of patient satisfaction questionnaires are discussed. The discussion is based upon the classification of multi-item questionnaires into scales or indices. Scales consist of items that describe the effects of the latent psychological variable to be measured, and indices consist of items that describe the causes of this variable. Whether patient satisfaction questionnaires should be constructed and analyzed as scales or as indices depends upon the purpose for which these questionnaires are required. If the final aim is improving care with regard to patients’ preferences, then these questionnaires should be constructed and analyzed as indices. This implies two requirements: 1) items for patient satisfaction questionnaires should be selected in such a way that the universe of possible causes of patient satisfaction is covered optimally and 2) Cronbach’s alpha, principal component analysis, exploratory factor analysis, confirmatory factor analysis, and analyses with models from item response theory, such as the Rasch Model, should not be applied for psychometric analyses. Instead, multivariate regression analyses with a direct rating of patient satisfaction as the dependent variable and the individual questionnaire items as independent variables should be performed. The coefficients produced by such an analysis can be applied for selecting the best items and for weighting the selected items when a sum score is determined. The lower boundaries of the validity of the unweighted and the weighted sum scores can be estimated by their correlations with the direct satisfaction rating. While the first requirement is fulfilled in the majority of the previous patient satisfaction questionnaires, the second one deviates from previous practice. Hence, if patient satisfaction is actually measured with the final aim of improving care with regard to patients’ preferences, then future practice should be changed so that the second requirement is also fulfilled.

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Psychometric evaluation of the primary health-care satisfaction scale in Turkish women

Cited by 10 publications

References 12 publications

Satisfaction measurement instruments for healthcare service users: a systematic review

Satisfaction measurement instruments for healthcare service users: a systematic review

On residents’ satisfaction with community health services after health care system reform in Shanghai, China, 2011

Which kind of psychometrics is adequate for patient satisfaction questionnaires?

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