Structural and Reliability Analysis of a Patient Satisfaction With Cancer-Related Care Measure
Structural and Reliability Analysis of a Patient Satisfaction With Cancer-Related Care Measure
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DOI：
10.1002/cncr.25501
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发表时间：
2011-02-15
期刊：
影响因子：
6.2
通讯作者：
Winters, Paul C.
中科院分区：
文献类型：
--
作者：
Jean-Pierre, Pascal;Fiscella, Kevin;Winters, Paul C.
背景技术背景：患者满意度是衡量癌症护理质量的重要指标，也是美国国家癌症研究所（NCI）赞助的患者导航研究计划的4项核心研究成果之一，旨在减少癌症护理中基于种族/民族的差异。目前还没有一个涵盖癌症相关护理范围的患者满意度指标。本研究的目的是开发一种与接受诊断/治疗性癌症相关护理的患者相关的癌症护理患者满意度测量。方法：作者根据文献综述、专家反馈、小组讨论和共识，制定了一个概念框架、癌症护理患者满意度的操作定义和项目库。35项患者对癌症护理的满意度测量对来自多地点的NCI赞助的患者导航研究计划的891名参与者进行了管理。主成分分析（PCA）进行潜在结构分析。内部一致性采用Cronbach系数α（alpha）进行评估。采用癌症护理患者满意度、沟通和态度自我效能感-癌症和人口统计学变量之间的相关性分析进行差异分析。结果：PCA揭示了一个一维的措施与项目形成一个连贯的集合解释62%的方差在病人的满意度。可靠性评估显示内部一致性较高（a范围为0.95至0.96）。癌症护理患者满意度表现出良好的表面效度、收敛效度和发散效度，与沟通和态度自我效能-癌症子量表中度相关（均P < .01），与年龄、主要语言、婚姻状况和成人医学素养快速评估量表得分无显著相关（均P > .05）。结论：患者对癌症护理的满意度是评估该样本对癌症相关护理满意度的有效工具。Cancer 2011;117：854-61. (c)2010美国癌症协会
BACKGROUND: Patient satisfaction is an important outcome measure of quality of cancer care and 1 of the 4 core study outcomes of the National Cancer Institute (NCI)-sponsored Patient Navigation Research Program to reduce race/ethnicity-based disparities in cancer care. There is no existing patient satisfaction measure that spans the spectrum of cancer-related care. The objective of this study was to develop a Patient Satisfaction With Cancer Care measure that is relevant to patients receiving diagnostic/therapeutic cancer-related care. METHODS: The authors developed a conceptual framework, an operational definition of Patient Satisfaction With Cancer Care, and an item pool based on literature review, expert feedback, group discussion, and consensus. The 35-item Patient Satisfaction With Cancer Care measure was administered to 891 participants from the multisite NCI-sponsored Patient Navigation Research Program. Principal components analysis (PCA) was conducted for latent structure analysis. Internal consistency was assessed using Cronbach coefficient alpha (alpha). Divergent analysis was performed using correlation analyses between the Patient Satisfaction With Cancer Care, the Communication and Attitudinal Self-Efficacy-Cancer, and demographic variables. RESULTS: The PCA revealed a 1-dimensional measure with items forming a coherent set explaining 62% of the variance in patient satisfaction. Reliability assessment revealed high internal consistency (a ranging from 0.95 to 0.96). The Patient Satisfaction With Cancer Care demonstrated good face validity, convergent validity, and divergent validity, as indicated by moderate correlations with subscales of the Communication and Attitudinal Self-Efficacy-Cancer (all P < .01) and nonsignificant correlations with age, primary language, marital status, and scores on the Rapid Estimate of Adult Literacy in Medicine Long Form (all P > .05). CONCLUSIONS: The Patient Satisfaction With Cancer Care is a valid tool for assessing satisfaction with cancer-related care for this sample. Cancer 2011;117:854-61. (c) 2010 American Cancer Society.