The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries
The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries
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DOI：
10.1093/intqhc/14.5.353
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发表时间：
2002-10-01
影响因子：
2.6
通讯作者：
Bruster, S
中科院分区：
文献类型：
--
作者：
Jenkinson, C;Coulter, A;Bruster, S
Objective.本研究的目的是开发和测试一套核心问题，以衡量病人的住院护理经验。问题是从皮克研究所为评估护理质量而进行的住院调查中使用的项目库中选择的。本文报告的数据来自对五个国家的急诊医院患者的调查：英国、德国、瑞典、瑞士和美国。调查问卷在出院后1个月内邮寄到患者家中，邮寄给所有患者，或随机抽样，在指定期间出院。共回收问卷62925份，回复率分别为65%（英国）、74%（德国）、63%（瑞典）、52%（瑞士）和46%（美国）。从Picker住院患者问卷中的问题库中选择了15个项目。这些项目具有较高的表面效度，当它们相加为一个指标时，它们显示出较高的结构效度和内部信度一致性。来自较长形式的Picker住院患者调查的15个项目已被发现提供了一个有意义的图片的病人的医疗保健经验，并构成了15个项目的Picker患者体验问卷。这些问题构成了一套核心问题，应在所有住院设施调查中加以衡量。Picker患者体验问卷代表了患者体验测量的一个进步，因为它提供了一组核心问题，可以围绕这些问题添加其他可选模块。分数易于解释和操作。结论。这一小套问题可纳入不同环境下的住院病人调查，从而能够比较医院业绩并建立国家或国际基准。
Objective. The purpose of this study was to develop and test a core set of questions to measure patients' experiences of in-patient care. Questions were selected from the bank of items developed for use in in-patient surveys undertaken by the Picker Institute for the purposes of assessing the quality of care.Design. The data reported here come from surveys of patients who had attended acute care hospitals in five countries: the United Kingdom, Germany, Sweden, Switzerland, and the USA. Questionnaires were mailed to patients' homes within 1 month of discharge, either to all patients, or to a random sample, discharged during a specified period.Sample. A total of 62 925 questionnaires were returned, with response rates of 65% (UK), 74% (Germany), 63% (Sweden), 52% (Switzerland), and 46% (USA).Results. Fifteen items were selected from the bank of questions included in the Picker in-patient questionnaires. These items have a high degree of face validity and when summed to an index they show a high degree of construct validity and internal reliability consistency.Discussion. Fifteen items derived from the longer form Picker in-patient survey have been found to provide a meaningful picture of patient experiences of health care, and constitute the 15-item Picker Patient Experience Questionnaire. These questions comprise a core set that should be measured in all in-patient facility surveys. The Picker Patient Experience Questionnaire represents a step forward in the measurement of patient experience as it provides a core set of questions around which further optional modules may be added. Scores are easy to interpret and actionable.Conclusion. This small set of questions could be incorporated into in-patient surveys in different settings, enabling the comparison of hospital performance and the establishment of national or international benchmarks.