Development of Medical Interview Satisfaction Scale in Japanese Edition

医疗访谈满意度量表（MISS）是M.H.Wolf等人在1978年开发的一种测量患者与医生或其他初级保健提供者接触的满意度的量表。本研究的目的是验证MISS是否可以在日本应用，并可以作为评估卫生保健服务的工具。我们将MISS从英语翻译成日语，并制作了一份日语版的MISS问卷。使用它，我们调查了在埼玉县3家医院就诊的756名患者。对于日文版MISS的信度，我们通过计算Cronbach’s系数来考察其内部一致性。分数的整体系数alpha为0.95，认为MISS是足够可靠的。对于MISS的效度，我们以患者整体满意度量表作为标准来考察其并发效度。每个MISS分数与之之间的系数均大于0.65，认为MISS是足够有效的。我们通过方差分析（ANOVA）调查了性别、年龄、医生和医院之间的满意度差异，但性别、医生和医院之间没有差异。综上所述，建议在日本推广MISS。然而，为了使用MISS作为评估卫生保健服务的工具，有必要进行更多的核实。

The Medical Interview Satisfaction Scale (MISS) was developed as a scale to measure patient satiafaction with an encouner with a physician or other primary care provider by M.H.Wolf et al in 1978. The purpoe of this study is to verify whether MISS can be applied in Japan and can be used as a tool for evaluating health care services.We translated MISS from English into Japanese and made a questionnaire for MISS in Japanese edition. Using it, we surveyed 756 patients who visited 3 hospitals in Saitama Prefecture.As for the reliability of MISS in Japanese version, we investigated the internal consistency by calculating Cronbach's coefficient alpha. The overall coefficient alpha of the score is 0.95, and it is considered that MISS is reliable enough. As for the validity of MISS,we investigated the concurrent validity by using the scale of the overall patient satisfaction as a criterion. All of the coefficients between each MISS scores and that are over 0.65, and it is considered that MISS is valid enough.We investigated the differences of satisfaction between sex, age, physician, and hospital by using the analysis of variance (ANOVA), but there is no difference between sex, physician, and hospital.In conclusion, it is suggested that MISS can be applied in Japan. However, in order to use MISS as a tool for evaluating health care services it is necessary to verify more.