摘要
目的初步编制新医改后患者满意度问卷,并评价其信度和效度,为患者对新医改后就医满意情况提供有效测量工具。方法在文献资料分析法、访谈法和问卷调查法的基础上初步确定新医改后患者满意度问卷的理论结构,运用德尔菲专家咨询、探索性因子分析和信、效度检验方法对广东省广州市3家二级及以上公立医院和6家社区卫生服务中心随机抽取的258例就诊患者对新医改后就医满意情况进行了分析,验证理论结构的合理性和正确性。结果通过项目分析和探索性因子分析,确定新医改后患者满意度问卷由公立医院改革、基本医疗保险、药物使用情况、医疗卫生行业监管和组织、中医药推广5个维度共23个条目组成,累积贡献率为83.223%;总量表Cronbach'sα系数为0.98,5个维度的Cronbach'sα系数分别为0.93、0.88、0.86、0.86、0.83,各维度与总量表的相关系数为0.881~0.937(均P<0.01),该问卷具有较好的信度和效度。结论初步编制的新医改后患者满意度问卷具有良好的信、效度和可行性,可作为新医改后患者满意度的有效测量工具。
Objective To develop a satisfaction scale for patients after healthcare reform and to evaluate the reliability and validity of the scale. Methods The patients＇ satisfaction scale was developed with literature review, focus group interview, and Delphi method. Then the complied scale was applied among 258 outpatients randomly selected with stratifled sampling from 3 public hospitals and 6 community healthcare centers in Guangzhou city in 2014 and the reliability and validity of the scale were evaluated. Results The patients＇ satisfaction scale was composed of 23 items and 5 dimen- sions including reform in public hospital, system of medical care insurance, medicine prescription, management and super- vision on medical service, and promotion of traditional Chinese medicine, which could explain 88. 223 % of overall vari- ance of the scale. Cronbach＇s of coefficient was 0. 98 for the whole scale and 0. 93,0. 88,0. 86,0. 86 ,and 0. 83 for the 5 domains of the scale, respectively. The correlation coefficients between the domain scores and the total score of the scale ranged from 0. 881 to 0. 937 （ all P 〈 0. 01 ）. Conclusion The patients＇ satisfaction scale developed primarily is reliable and valid and could be used as a tool to evaluate patients＇satisfaction to medical service after healthcare reform.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第1期145-148,共4页
Chinese Journal of Public Health
关键词
新医改后患者满意度问卷
编制信度
效度
satisfaction scale for patient after healthcare reform
reliability
validity
