The Outpatient Experience Questionnaire of comprehensive public hospital in China: development, validity and reliability

Hu, Yinhuan; Zhang, Zixia; Xie, Jinzhu; Wang, Guanping

doi:10.1093/intqhc/mzw133

Cited by 19 publications

(21 citation statements)

References 29 publications

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“…The Chinese Outpatient Experience Questionnaire was the basis of our survey, which included 6 dimensions (physical environment and convenience, physician-patient communication, health information, medical service fees, short-term outcome, and general satisfaction), 28 items, and patient characteristics (gender, age, education, marital status, monthly income, payment, living place, specialty, self-rated health status) with good reliability and validity [ 18 ]. In the questionnaire, we added another question in the characteristics section— “Did you use mobile health apps during this visit?”—to divide the users and nonusers.…”

Section: Methodsmentioning

confidence: 99%

The Use of Mobile Health Applications to Improve Patient Experience: Cross-Sectional Study in Chinese Public Hospitals

Lu¹,

Hu²,

Xie³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundThe proliferation of mobile health apps has greatly changed the way society accesses the health care industry. However, despite the widespread use of mobile health apps by patients in China, there has been little research that evaluates the effect of mobile health apps on patient experience during hospital visits.ObjectiveThe purpose of our study was to examine whether the use of mobile health apps improves patient experience and to find out the difference in patient experience between users and nonusers and the characteristics associated with the users of these apps.MethodsWe used the Chinese Outpatient Experience Questionnaire to survey patient experience. A sample of 300 outpatients was randomly selected from 3 comprehensive public hospitals (3 tertiary hospitals) in Hubei province, China. Each hospital randomly selected 50 respondents from mobile health app users and 50 from nonusers. A chi-square test was employed to compare the different categorical characteristics between mobile health app users and nonusers. A t test was used to test the significance in continuous variables between user scores and nonuser scores. Multiple linear regression was conducted to determine whether the use of mobile health apps during hospital visits was associated with patient experience.ResultsThe users and nonusers differed in age (χ22=12.2, P=.002), education (χ23=9.3, P=.03), living place (χ21=7.7, P=.006), and the need for specialists (χ24=11.0, P=.03). Compared with nonusers, mobile health app users in China were younger, better educated, living in urban areas, and had higher demands for specialists. In addition, mobile health app users gave significantly higher scores than nonusers in total patient experience scores (t298=3.919, P<.001), the 18 items and the 5 dimensions of physician-patient communication (t298=2.93, P=.004), health information (t298=3.556, P<.001), medical service fees (t298=3.991, P<.001), short-term outcome (t298=4.533, P<.001), and general satisfaction (t298=4.304, P<.001). Multiple linear regression results showed that the use of mobile health apps during hospital visits influenced patient experience (t289=3.143, P=.002). After controlling for other factors, it was shown that the use of mobile health apps increased the outpatient experience scores by 17.7%. Additional results from the study found that the self-rated health status (t289=3.746, P<.001) and monthly income of patients (t289=2.416, P=.02) influenced the patient experience as well.ConclusionsThe use of mobile health apps could improve patient experience, especially with regard to accessing health information, making physician-patient communication more convenient, ensuring transparency in medical charge, and ameliorating short-term outcomes. All of these may contribute to positive health outcomes. Therefore, we should encourage the adoption of mobile health apps in health care settings so as to improve patient experience.

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Section: Methodsmentioning

confidence: 99%

The Use of Mobile Health Applications to Improve Patient Experience: Cross-Sectional Study in Chinese Public Hospitals

Lu¹,

Hu²,

Xie³

et al. 2018

JMIR Mhealth Uhealth

Self Cite

View full text Add to dashboard Cite

show abstract

“…The sample adequacy was assessed by the Kaiser-Meyer-Olkin (KMO) test and Bartlet’s test. Internal reliability was assessed using the criterion of Cronbach’s alpha ≥0.70 and split-half reliability coefficient (Spearman-Brown coefficient) ≥ 0.70 [ 33 , 34 ]. Independent-samples t-tests and one-way ANOVA were used for comparison among different demographic groups (gender, age groups, education, marital status, employment, living alone, and being left-behind).…”

Section: Methodsmentioning

confidence: 99%

The validity of proxy-based data on loneliness in suicide research: a case-control psychological autopsy study in rural China

Niu

Jia

et al. 2018

BMC Psychiatry

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BackgroundThere is a lack of evidence for the role of loneliness on suicide using psychological autopsy method, and the validity of proxy informants’ reports on loneliness is not well established. This study aimed to investigate the validity of proxy respondent reports on loneliness, and the reliability and validity of the University of California Los Angeles Loneliness Scale-6 (ULS-6) as used in psychological autopsy method with rural elderly people in China.MethodsTwo hundred forty-two suicide cases and 242 normal community controls were selected, and the psychological autopsy method was utilized to collect information. Data from proxy respondents of the living controls were compared with data reported by the targets (gold standards).ResultsSubject-proxy concordance for ULS-6 was fair (ICC = 0.447) in the living controls. The suicide cases were more likely to have a higher score of ULS-6 than the living controls. Additionally, our data supported that ULS-6 had adequate psychometric properties in both suicide and control groups: factor analyses yielded one-factor component solution; Cronbach’s alpha (both > 0.90) demonstrated excellent internal consistency; the Spearman correlation analysis indicated that the ULS-6 score was positively correlated with depression; and negatively correlated with QOL and social support.ConclusionsResults support proxy-based data on loneliness in research of suicide in older adults in rural China, and the ULS-6 is a psychometrically sound instrument for measuring loneliness in psychological autopsy studies.

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“…While widely studied in developed countries since the 1970s and 1980s [29,30,31,32,33], patient experience and satisfaction studies have only recently been of interest in China. The few China-based studies have mostly been conducted in hospitals settings, especially in tertiary hospitals in developed areas [34,35,36,37,38,39]. Understanding the relationship between patient perceived care quality and satisfaction would point to those care aspects that matter most to patients, which could guide primary health care resource allocation and service delivery reorganization.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Overall Satisfaction with Public Clinics in Rural China: Interpersonal Care Quality and Treatment Outcome

Wang

Maitland

Nicholas

et al. 2019

IJERPH

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The primary health care quality factors determining patient satisfaction will shape patient-centered health reform in China. While rural public clinics performed better than hospitals and private clinics in terms of patient perceived quality of primary care in China, there is little information about which quality care aspects drove patients’ satisfaction. Using a World Health Organization database on 1014 rural public clinic users from eight provinces in China, our multiple linear regression model estimated the association between patient perceived quality aspects, one treatment outcome, and overall primary health care satisfaction. Our results show that treatment outcome was the strongest predictor of overall satisfaction (β = 0.338 (95% CI: 0.284 to 0.392); p < 0.001), followed by two interpersonal care quality aspects, Dignity (being treated respectfully) (β = 0.219 (95% CI: 0.117 to 0.320); p < 0.001) and Communication (clear explanation by the physician) (β = 0.103 (95% CI: 0.003 to 0.203); p = 0.043). Prompt attention (waiting time before seeing the doctor) and Confidentiality (talking privately to the provider) were not correlated with overall satisfaction. The treatment outcome focus, and weak interpersonal primary care aspects, in overall patient satisfaction, pose barriers towards a patient-centered transformation of China’s primary care rural clinics, but support the focus of improving the clinical competency of rural primary care workers.

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The Outpatient Experience Questionnaire of comprehensive public hospital in China: development, validity and reliability

Abstract: The OPEQ is a promising instrument covering the most important aspects which influence outpatient experiences of comprehensive public hospital in China. It has good evidence for acceptability, validity and reliability.

Cited by 19 publications

References 29 publications

The Use of Mobile Health Applications to Improve Patient Experience: Cross-Sectional Study in Chinese Public Hospitals

The Use of Mobile Health Applications to Improve Patient Experience: Cross-Sectional Study in Chinese Public Hospitals

The validity of proxy-based data on loneliness in suicide research: a case-control psychological autopsy study in rural China

Determinants of Overall Satisfaction with Public Clinics in Rural China: Interpersonal Care Quality and Treatment Outcome

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