CAJ | 학술논문

目的：编制适合患者评价住院经历满意程度的简易问卷，并评价信效度。方法：参照美国HCAHPS和PRESS GANEY患者满意度调查问卷，制定简易问卷，涵盖住院手续、医疗技术、服务态度、疼痛管理、患者参与、环境及综合评价七个条目。对151名住院患者同时应用HCAHPS、Press Ganey和简易问卷调查，考察内部一致性信度、结构效度、标准效度，比较各问卷的应答率和可接受性。对70名出院患者，采用电话调查形式，间隔24~48小时重复调查。结果：住院患者：（1）内部一致性系数：简易问卷克朗巴哈α系数为0.86；（2）结构效度：因子分析选出3个主成分，累计方差贡献率79.06%；（3）标准效度：简易问卷总体评价条目与校标问卷总体评价领域相关系数在0.58~0.82之间；（4）可接受性：简易问卷总体应答率90.10%。出院患者验证重测信度：重测加权一致性系数κ范围0.76~0.92，Spearman相关系数范围0.769~0.931，各条目组内相关系数范围0.80~0.97。结论：简易问卷具有较好的重测信度、结构效度和标准效度，问卷精简，耗时少，可以用来评价住院患者对医疗服务的满意度。
목적：편제괄합환자평개주원경력만의정도적간역문권，병평개신효도。방법：삼조미국HCAHPS화PRESS GANEY환자만의도조사문권，제정간역문권，함개주원수속、의료기술、복무태도、동통관리、환자삼여、배경급종합평개칠개조목。대151명주원환자동시응용HCAHPS、Press Ganey화간역문권조사，고찰내부일치성신도、결구효도、표준효도，비교각문권적응답솔화가접수성。대70명출원환자，채용전화조사형식，간격24~48소시중복조사。결과：주원환자：（1）내부일치성계수：간역문권극랑파합α계수위0.86；（2）결구효도：인자분석선출3개주성분，루계방차공헌솔79.06%；（3）표준효도：간역문권총체평개조목여교표문권총체평개영역상관계수재0.58~0.82지간；（4）가접수성：간역문권총체응답솔90.10%。출원환자험증중측신도：중측가권일치성계수κ범위0.76~0.92，Spearman상관계수범위0.769~0.931，각조목조내상관계수범위0.80~0.97。결론：간역문권구유교호적중측신도、결구효도화표준효도，문권정간，모시소，가이용래평개주원환자대의료복무적만의도。
Objectives:To develop a simple patient satisfaction questionnaire and to assess its reliability and validity. Methods:A 7-item patient satisfaction questionnaire was developed with reference to the Hospital Consumer Assessment of Healthcare Providers and Systems Survey(HCAHPS) and Press Ganey Survey, including questions about admission, skills, attitude, pain controlling, environment and overall assessment. The internal consistency and validity were evaluated by a survey on 151 inpatients, using HCAHPS and Press Ganey Survey as references. The reliability of the questionnaire was assessed by a test-retest survey conducted among 70 patients within an interval of 24-48 hours. Results:(1)Test-retest reliability:Weighed Kappa indexes for items were from 0.96 to 0.92. Intraclass correlation coefficients were from 0.80 to 0.92 for items.(2)Internal consistency:Cronbach’s alpha was 0.86 for the whole scale.(3)Construct validity:The accumulated proportions of variances of the preceding three principal components was 79.06%.(4)Criterion validity:Spearman correlation coefficients of overall assessment of the questionnaire with those of HCAHPS and Press Ganey Survey were 0.58 to 0.82.(5)Acceptance:The response rate of the questionnaire was 90.10%, which cost 3.4 minutes to answer. Though people’s willingness to use these three scales were similar, the abbreviated questionnaire was simpler and better completed. Conclusion:The abbreviated questionnaire satisfied test-retest reliability and was highly correlated with HCAHPS and Press Ganey Survey. It had much fewer items, took less time while satisfied construction validity, internal consistency and responding rate. We suggested this questionnaire be used as a replicable tool to assess patient satisfaction of in-patient medical service.