Quality of physical therapy from a patient’s perspective; factor analysis on web-based survey data revealed three dimensions on patient experiences with physical therapy

Abstract

BackgroundAssessing quality of care from the patient’s perspective has changed from patient satisfaction to the more general term patient experience, as satisfaction measures turned out to be less discriminative due to high scores. Literature describes four to ten dimensions of patient experience, tailored to specific conditions or types of care. Given the administrative burden on patients, less dimensions and items could increase feasibility. Ten dimensions of patient experiences with physical therapy (PT) were proposed in the Netherlands in a consensus-based process with patients, physical therapists, health insurers, and policy makers. The aim of this paper is to detect the number of dimensions from data of a field study using factor analysis at item level.MethodsA web-based survey yielded data of 2,221 patients from 52 PT practices on 41 items. Principal component factor analysis at item level was used to assess the proposed distinction between the ten dimensions.ResultsFactor analysis revealed two dimensions: ‘personal interaction’ and ‘practice organisation’. The dimension ‘patient reported outcome’ was artificially established. The three dimensions ‘personal interaction’ (14 items) (medianpractice level = 91.1; IQR = 2.4), ‘practice organisation’ (9 items) (medianpractice level = 88.9; IQR = 6.0) and ‘outcome’ (3 items) (medianpractice level = 80.6; IQR = 19.5) reduced the number of dimensions from ten to three and the number of items by more than a third.ConclusionsFactor analysis revealed three dimensions and achieved an item reduction of more than a third. It is a relevant step in the development process of a quality measurement tool to reduce respondent burden, increase clarity, and promote feasibility.

Physical therapists’ perspectives on using contextual factors in clinical practice: Findings from an Italian national survey

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Desenvolvimento do mapa estratégico como diretriz de gestão em serviço de fisioterapia hospitalar

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“…O Balanced ScoreCard (BSC) é uma ferramenta que estrutura um modelo de gestão em objetivos estratégicos por meio de perspectivas consideradas essenciais na atuação de qualquer empresa. As perspectivas são: aprendizado e crescimento, processos internos, clientes e sustentabilidade e responsabilidade social [3,4]. O BSC permite estruturar e transformar objetivos em um mapa estratégico visual, permitindo o monitoramento dos esforços da organização em prol dos resultados desejados [5,6].…”

Avaliação Da Satisfação Do Atendimento Fisioterapêutico Em Ambiente Hospitalar

“…Na busca pela excelência na qualidade do atendimento com o paciente hospitalizado, o feedback sobre os atendimentos fisioterapêuticos realizados pode ser utilizado sistematicamente para melhorar os métodos de cuidados de saúde hospitalar 11 . Esta pesquisa teve por objetivo avaliar o grau de satisfação com o atendimento fisioterapêutico dos pacientes hospitalizados nas enfermarias do Hospital Universitário Regional dos Campos Gerais (HURCG).…”