A new, brief questionnaire (PEQ) developed in primary health care for measuring patients' experience of interaction, emotion and consultation outcome
A new, brief questionnaire (PEQ) developed in primary health care for measuring patients' experience of interaction, emotion and consultation outcome
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DOI：
10.1093/fampra/18.4.410
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发表时间：
2001-08-01
期刊：
影响因子：
2.2
通讯作者：
Laerum, E
中科院分区：
文献类型：
--
作者：
Steine, S;Finset, A;Laerum, E
背景为了改善医疗沟通，加深对患者观点的理解至关重要。通过将焦点从患者满意度转移到患者体验，可以捕捉到更直接、个人和情感的反应。我们的目的是开发一个新的咨询特定的问卷调查患者的经验。调查问卷是在挪威的初级保健三个主要阶段。第一阶段：与患者进行焦点小组讨论，以确定患者经历的重要方面，以及他们在描述这些经历时使用的词汇和语言。第2阶段：问卷调查，110个项目，包括660例患者。广泛的测试导致六个维度上的项目减少到25个。第3阶段：问卷调查，25个项目，包括1092例患者。心理测量学分析和反馈，从病人和医生涉及的维度和测试的有效性和可靠性。最后的问卷包括五个方面的18个项目：沟通;情绪;短期结果;障碍;和与辅助人员的关系。有效性和可靠性估计非常令人满意。三个尺度是偏斜的，而两个更平均分布。48%的患者描述了不太理想的沟通体验;在70%的访问中发现了一些沟通障碍，55%的访问中报告了与工作人员的不太有益的体验。24%的病人离开了。没有积极的感觉，48%的人在结果量表（知识，感知结果）上得分较低。患者体验问卷（PEQ）强调患者最重视的是什么，即互动，情绪和结果，并可能代表一个有价值的工具，医生希望从他们的病人反馈他们的医患关系的功能。
Background. A deepened understanding of patients' perspectives is essential in order to improve medical communication. By changing focus from patient satisfaction to patient experiences, more immediate, personal and affective responses may be captured.Objective. Our aim was to develop a new consultation-specific questionnaire on patient experiences.Methods. The questionnaire was developed in Norwegian primary care in three main phases. Phase 1:focus groups with patients in order to identify important aspects of patients' experiences, and their words and language when describing such experiences. Phase 2: a questionnaire survey with 110 items including 660 patients. Extensive testing resulted in a reduction to 25 items on six dimensions. Phase 3: a questionnaire survey with 25 items including 1092 patients. Psychometric analyses and feedback from patients and physicians involved dimensionality and tests of validity and reliability.Results. A final questionnaire was produced with 18 items on five dimensions: communication; emotions; short-term outcome; barriers; and relations with the auxiliary staff. The validity and reliability estimates were highly satisfactory. Three scales were skewed while two were more equally distributed. Forty-eight per cent of the patients described less than optimal communication experiences; some communication barriers were detected in 70% of the visits and less helpful experiences with the staff were reported in 55% of the visits. Twenty-four per cent of patients left with. no positive feelings, and 48% scored low on the outcome scale (knowledge, perceived result).Conclusions. The patient experience questionnaire (PEQ) emphasizes what patients value the most, i.e. interaction, emotions and outcome, and may represent a valuable tool for doctors who want feedback from their patients on the function of their doctor-patient relationships.