Methodological problems in comparing English-speaking and Spanish-speaking patients' satisfaction with interpersonal aspects of care.
Methodological problems in comparing English-speaking and Spanish-speaking patients' satisfaction with interpersonal aspects of care.
复制标题
比较英语和西班牙语患者对护理人际方面的满意度的方法学问题。
作者：
R. Hayes;D. Baker
目标
作者检查了患者满意度测量的英语和西班牙语版本的可靠性和有效性，即人际关系方面的护理(IAC)检查员量表。
方法
对一家大型公立医院急诊科的234名西班牙语患者和250名英语患者进行了检查。计算两次给药的信度和效度系数。使用两种反应二分法比较条目和量表反应分布的差异。
结果
总体来说，考官量表具有较好的信度和效度。然而，西班牙文版的量表的信度和效度要低得多。根据条目反应二分法的不同，讲西班牙语和讲英语的患者在大多数个体量表条目上存在显著差异。这主要是因为说西班牙语的患者比说英语的患者更容易对物品做出“好”的反应。
结论
这一结果使某些类型的反应格式的使用以及在评估西班牙语患者的患者满意度时将反应一分为二的做法受到质疑。
OBJECTIVES
The authors examine the reliability and validity of English and Spanish versions of a patient satisfaction measure, the Interpersonal Aspects of Care (IAC) Examiner Scale.
METHODS
The examiner scale was administered to 234 Spanish-speaking and 250 English-speaking patients seen in the emergency department of a large public hospital. Reliability and validity coefficients were calculated for both administrations. Differences in item and scale response distributions were compared using two methods of response dichotomization.
RESULTS
In general, the examiner scale was reliable and valid. However, the Spanish version of the scale was significantly less reliable and valid. Depending on the method of item response dichotomization, significant differences between Spanish-speaking and English-speaking patients were found for the majority of the individual scale items. This was due primarily to a tendency for Spanish-speaking patients to respond "good" to items more frequently than did English-speaking patients.
CONCLUSIONS
The results bring into question the use of certain types of response formats and the practice of dichotomizing responses when evaluating patient satisfaction in Spanish-speaking patients.