Parent Satisfaction With Children's Medical Care: Development, Field Test, and Validation of a Questionnaire
Parent Satisfaction With Children's Medical Care: Development, Field Test, and Validation of a Questionnaire
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家长对儿童医疗护理的满意度：调查问卷的制定、现场测试和验证
作者：
C. Lewis;D. E. Scott;R. Pantell;M. H. Wolf
对成人患者和儿科患者父母的研究表明，对医疗接触的满意度预测着遵守医疗方案等重要结果。作者编制了一份测量父母对儿童医疗接触满意度的问卷，并对104名儿科患者的父母进行了测试(现场试验1)，并对其进行了修订。修订后的父母医疗访谈满意度量表(P-MISTH)随后在一个新的父母样本上进行测试，这些父母的就诊被录制下来(现场试验2)。在现场试验2中，P-MISTH显示出较高的α信度(0.95)。由现场试验1确定的四个基于因素的子量表在现场试验2上显示出较高的α信度：医生与父母的沟通(0.81)；医生与孩子的沟通(0.93)；困境缓解(0.85)；以及坚持意愿(0.86)。除危难救济分量表外，这些分量表似乎测量了不同的满意度维度。医生在医学访谈中对家长的人际交往技能评分与家长的总体满意度得分以及所有四个满意度子量表得分均显著相关，为P-MISTH的结构效度提供了初步证据。
Research on both adult patients and parents of pediatric patients has demonstrated that satisfaction with medical encounters predicts such important outcomes as compliance with medical regimen. The authors developed a questionnaire to measure parent satisfaction with children's medical encounters, administered it to 104 parents of pediatric patients (field trial 1), and revised it. The revised Parent Medical Interview Satisfaction Scale (P-MISS) was then tested on a new sample of parents whose medical visits were videotaped (field trial 2). On field trial 2, the P-MISS showed a high alpha reliability (0.95). The four factor-based subscales identified by field trial 1 showed high alpha reliabilities on field trial 2: physician communication with the parent (0.81); physician communication with the child (0.93); distress relief (0.85); and adherence intent (0.86). With the exception of the distress relief subscale, the subscales appear to measure distinct dimensions of satisfaction. Objective ratings of physicians' interpersonal skills to parents during medical interviews correlated significantly with parents' total satisfaction scores as well as with all four satisfaction subscale scores, providing preliminary evidence of the construct validity of the P-MISS.