Patient satisfaction with health care decisions: The satisfaction with decision scale
Patient satisfaction with health care decisions: The satisfaction with decision scale
复制标题
DOI：
10.1177/0272989x9601600114
复制
发表时间：
1996-01-01
影响因子：
3.6
通讯作者：
Talarczyk, G
中科院分区：
文献类型：
--
作者：
HolmesRovner, M;Kroll, J;Talarczyk, G
患者满意度测量以前解决了对医疗服务的满意度，对提供者的满意度和对结果的满意度，但对医疗保健决策本身的满意度不高。随着患者越来越多地参与医疗保健决策，重要的是要了解决策本身的具体动态。决策满意度（SWD）量表测量对医疗保健决策的满意度。它是在绝经后妇女替代治疗决策的背景下发展起来的。六项量表具有良好的信度（Cronbach’s alpha = 0.86）。判别效度，进行主成分分析的项目汇集从社会福利署规模和两个概念上相关的措施，是好的。SWD量表与决策过程其他方面满意度测量的相关性显示，SWD量表与“决策信心”的相关性最高（0.64），与“参与医疗保健决策的愿望”和“对提供者的满意度”的相关性最低。在这项研究中，社会福利署的量表预测了决策的确定性。在一项独立研究中的使用表明，SWD量表与患者接种流感疫苗的可能性相关。有关其他健康决定的进一步调查将确定社会福利署量表作为结果衡量标准的实用性。
Patient satisfaction measures have previously addressed satisfaction with medical care, satisfaction with providers, and satisfaction with outcomes, but not satisfaction with the health care decision itself. As patients become more involved in health care decisions, it is important to understand specific dynamics of the decision itself. The Satisfaction with Decision (SWD) scale measures satisfaction with health care decisions. It was developed in the context of postmenopausal hormone-replacement therapy decisions. The six-item scale has excellent reliability (Cronbach's alpha = 0.86). Discriminant validity, tested by performing principal-components analysis of items pooled from the SWD scale and two conceptually related measures, was good. Correlation of the SWD scale with measures of satisfaction with other aspects of the decision-making process showed the SWD scale was correlated most highly (0.64) with ''decisional confidence,'' and least with ''desire to participate in health care decisions'' and ''satisfaction with provider.'' The SWD scale predicts decision certainty in this study. Use in an independent study showed that the SWD scale was correlated with the likelihood of patients' intentions to get a flu shot. Further investigation in relation to other health decisions will establish the utility of the SWD scale as an outcome measure.