A comprehensive assessment of satisfaction with care:: Preliminary psychometric analysis in an oncology institute in Italy
A comprehensive assessment of satisfaction with care:: Preliminary psychometric analysis in an oncology institute in Italy
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DOI：
10.1023/a:1008393226195
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发表时间：
1999-07-01
影响因子：
50.5
通讯作者：
de Haes, JCJM
中科院分区：
文献类型：
--
作者：
Brédart, A;Razavi, D;de Haes, JCJM
背景：关于患者对他们在肿瘤医院接受的护理质量的看法，我们知之甚少。我们开发了61个项目的护理满意度综合评估(CASC)，以评估医院医生和护士的能力，以及护理组织和医院环境方面的情况。本研究的目的是确定CASC的结构，并评估其量表的内部一致性和收敛和区分效度。患者和方法：连续395名从意大利某肿瘤研究所出院的癌症患者被要求在家中完成CASC，并将其装在一个写有地址的信封中寄回。结果：2%的患者拒绝参与，25%的患者没有返回问卷。CASC量表的单独因素分析揭示了医生和护士的可获得性、协调性、人类素质、技术能力、提供心理社会护理和信息的感知程度，以及患者的总体满意度、对其护理的组织、获得和舒适性的感知。对因子分析得到的项目分组进行多性状标度分析。CASC具有较高的内部一致性和收敛效度，但区分效度有待提高。结论：CASC的心理测量学测试结果具有较好的预测性。通过在跨文化背景下重复这些分析，这一点将得到证实。
Background: Little is known about patients' perception of the quality of the care they receive in oncology hospitals. We developed a 61-item comprehensive assessment of satisfaction with care (CASC) to evaluate the competence of hospital physicians and nurses, as well as aspects of care organisation and hospital environment. The aims of this study were to define the structure of the CASC and assess the internal consistency and convergent and discriminant validity of its scales.Patients and methods: Three hundred ninety-five consecutive cancer patients discharged from an oncology institute in Italy were asked to complete the CASC at home and return it in a self-addressed envelope.Results: Two percent of the patients refused to participate and 25% failed to return the questionnaire. Separate factor analyses of the CASC sub-scales disclosed the perceived extent of doctors' and nurses' availability, coordination, human quality, technical competence, provision of psychosocial care and information, as well as the patients' general satisfaction, perception of the organisation of their care, access and comfort. Multi-trait scaling analysis was carried out on item-grouping resulting from factor analyses. High levels of internal consistency and convergent validity were obtained but discriminant validity could be improved.Conclusions: Results of present psychometric testing of the CASC forecast adequate properties. This will be confirmed by repeating these analyses in a cross-cultural setting.