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Validation of a French hospitalized patients' satisfaction questionnaire: the QSH-45
- Source :
- International Journal for Quality in Health Care, International Journal for Quality in Health Care, Oxford University Press (OUP), 2009, 21 (4), pp.243-52. ⟨10.1093/intqhc/mzp021⟩
- Publication Year :
- 2009
- Publisher :
- HAL CCSD, 2009.
-
Abstract
- International audience; OBJECTIVE: To develop a generic French self-administered instrument for measuring hospitalized patients' satisfaction based on the patient's point of view: the questionnaire for satisfaction of hospitalized (QSH) patients. DESIGN: The development was supervised by a steering committee and undertaken through three standard steps. Item generation was derived from 95 face-to-face interviews, performed in hospitalized patients and in patients scheduled to be admitted. The item reduction led to a 69-item questionnaire. The validation process was based on validity, reliability and some aspects of external validity. SETTING: Medical, surgical and obstetrical departments (n = 187) of public hospitals (n = 11) from different French regions (n = 3). PARTICIPANTS: Eligible patients were adult subjects hospitalized for at least 24 h. MAIN OUTCOME MEASURES: QSH, sociodemographic data, hospitalization department, visual analogue scales of satisfaction. RESULTS: The final version of QSH contained 45 items describing 9 dimensions, leading to 2 composite scores (staff and structure index). The factor structure accounted for 71% of the total variance. Internal consistency was satisfactory (item-internal consistency over 0.40; Cronbach's alpha coefficients ranged from 0.76 to 0.96). The scalability was satisfactory with inlier-sensitive fit (INFIT) statistics inside an acceptable range. Scores of dimensions were strongly positively correlated with visual analogue scale scores (all P < 0.001). External validity showed statistical associations between QSH scores and age or department. Participation rate was 91%. CONCLUSIONS: The availability of a reliable and valid French questionnaire concerning hospitalized patients' satisfaction, exclusively generated from patients' interviews, enables patient feedback to be incorporated in a continuous quality health-care improvement strategy.
- Subjects :
- Male
Psychometrics
Quality Assurance, Health Care
Hospitalized patients
MESH: Quality Assurance, Health Care
MESH: Hospitalization
0302 clinical medicine
Surveys and Questionnaires
Medicine
030212 general & internal medicine
MESH: Aged
MESH: Middle Aged
030503 health policy & services
Health Policy
General Medicine
Middle Aged
3. Good health
Hospitalization
MESH: Reproducibility of Results
Patient Satisfaction
Female
France
MESH: Hospital Departments
0305 other medical science
Adult
medicine.medical_specialty
MESH: Socioeconomic Factors
Visual analogue scale
Hospital Departments
External validity
03 medical and health sciences
Patient satisfaction
Cronbach's alpha
MESH: Psychometrics
Consistency (statistics)
Humans
Aged
MESH: Humans
business.industry
MESH: Questionnaires
Public Health, Environmental and Occupational Health
Reproducibility of Results
MESH: Adult
MESH: Male
MESH: Patient Satisfaction
MESH: France
Socioeconomic Factors
Physical therapy
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
Quality assurance
MESH: Female
Subjects
Details
- Language :
- English
- ISSN :
- 13534505 and 14643677
- Database :
- OpenAIRE
- Journal :
- International Journal for Quality in Health Care, International Journal for Quality in Health Care, Oxford University Press (OUP), 2009, 21 (4), pp.243-52. ⟨10.1093/intqhc/mzp021⟩
- Accession number :
- edsair.doi.dedup.....04a9405b900fd024dde39a7b6e9ae11e