A comparison of a Patient Enablement instrument (PEI) against two established satisfaction scales as an outcome measure of primary care consultations
A comparison of a Patient Enablement instrument (PEI) against two established satisfaction scales as an outcome measure of primary care consultations
复制标题
DOI：
10.1093/fampra/15.2.165
复制
发表时间：
1998-04-01
期刊：
影响因子：
2.2
通讯作者：
Walker, JJ
中科院分区：
文献类型：
--
作者：
Howie, JGR;Heaney, DJ;Walker, JJ
目标.我们的目的是比较一个新的初级保健结果的措施-病人能力工具（PEI）-对两个既定的满意度措施[医疗访谈满意度量表（MISS）和咨询满意度问卷（CSQ）]。具体而言，我们寻求（一）测试是否启用和满意度是相关的或单独的概念;（二）评估是否PEI的内部一致性可能会提高满意度工具的项目。问卷调查表包含三种工具的各种组合，共818例患者参加常规手术咨询，在不同的社会经济组合的三个城市的一般做法。主要的结果指标是：PEI评分; CSQ评分，MISS及其个别分量表评分; PEI评分与CSQ评分，MISS及其分量表评分之间的等级相关性; PEI的Cronbach α系数。总体平均评分（表示为可达到的最高评分的百分比）为：PEI为44.1%，CSQ为76.9%，MISS为77.6%。PEI评分与CSO和MISS评分的等级相关系数分别为0.48（P < 0.01）和0.47（P < 0.01）。PEI评分与CSQ单个成分评分的相关性通常较低，范围为0.14至0.53; PEI评分与MISS成分评分的相关性通常也较低，范围为0.21至0.53。当加入CSQ或MISS的项目时，PEI项目的内部一致性（由Cronbach α系数评估）降低。研究表明，“支持”是一种初级保健结果指标，与总体满意度相关但又不同。
Objectives. We aimed to compare a new primary care outcome measure-the Patient Enablement Instrument (PEl)-against two established satisfaction measures [the Medical Interview Satisfaction Scale (MISS) and the Consultation Satisfaction Questionnaire (CSQ)]. Specifically, we sought (i) to test whether enablement and satisfaction are related or separate concepts; and (ii) to assess whether the internal consistency of the PEI might be enhanced by the inclusion of items from the satisfaction instruments.Methods. Questionnaire forms containing the three instruments in a variety of combinations were distributed to a total of 818 patients attending for routine surgery consultations in three urban general practices of varying socio-economic mix. The main outcome measures were: scores on the PEI; scores on the CSQ, the MISS and their individual components; rank correlations between scores on the PEI and scores on the CSQ, the MISS and their component subscales; and Cronbach's alpha coefficient for the PEI.Results. Overall mean scores, expressed as percentages of maximum scores attainable, were 44.1% for the PEI, 76.9% for the CSQ and 77.6% for the MISS. Rank correlations between PEI scores and scores for the complete CSO and MISS instruments were 0.48 (P < 0.01) and 0.47 (P < 0.01), respectively. Correlations of PEI scores with individual component scores on the CSQ were generally lower and ranged from 0.14 to 0.53; correlations of PEI scored with MISS component scores were also generally lower and ranged from 0.21 to 0.53. Internal consistency of the PEI items (assessed by Cronbach's alpha coefficient) was lowered when items from the CSQ or MISS were added.Conclusions. The study shows that 'enablement' is a primary care outcome measure which is related to but is different from general satisfaction.