Akademik tıp merkezi hastanesi için yeni bir hizmet memnuniyeti anketinin güvenirliği ve geçerliliği

Öz

Sağlık kuruluşlarının kalite yönetimi faaliyetlerinin en önemli kompenentlerinden biri hasta memnuniyet düzeylerinin belirlenmesidir. Özellikle poliklinikler hastanelerde en önemli alanlardan biridir. Bu çalışmada bir üniversite hastanesi polikliniklerinde hasta memnuniyetini ölçmeye yönelik geçerli ve güvenilir bir araç geliştirmek amaçlanmıştır. Bu amaçla, Suudi Arabistan, Dammam Üniversitesi, King Fhad Üniversite Hastanesi'ne başvuran 445 hasta üzerinde 21 soru, 4 boyut altında geliştirilen, likert skalası ile memnuniyet durumları belirlenen bir anket formunun güvenilirliliği Cronbach katsayısı ile, geçerlilik analizleri ise faktör analizi ile gerçekleştirilmiştir. Bu makalede araştırma sonuçları sunulacak ve tartışılacaktır.

Anahtar Kelimeler

• Ayakta Hasta Memnuniyeti, Güvenilirlik, Geçerlik, Akademik Tıp Merkezi Hastanesi

Reliability and Validity of a New Questionnaire of Outpatient Service Satisfaction for Academic Medical Center Hospital

Öz

Background: Measuring outpatient satisfaction is an integral component of quality management in healthcare settings. Outpatient service is a major part in the hospital services and patient care. Objectives: This study aims to develop a valid and reliable survey toolfor measuring the quality of outpatient service in an academic medical center hospital. Design: A cross-sectional, analytical research design was conducted among outpatients Settings: King Fahd Hospital of the University, University of Dammam, Saudi Arabia. Patients and Methods: The questionnaire was administered to 445 outpatients who attended the clinics during the period of April – June 2015 in King Fahd Hospital of the University. The questionnaire comprised of 21 items on 4 conceptual subscales: Professional care, Availability of service, Waiting time and Laboratory service. A five-point Likert scale was used to measure the level of satisfaction. Reliability was performed using Cronbach’s α coefficient. Factor analysis was done to test the validity of the survey instrument. Main outcome measures: Reliability, Validity for the questionnaire overall, and for each sub-scale. Results: Factor analysis indicated that the outpatients’ satisfaction towardsthe quality of service scale had four latent factors, which explained 82% of the variance: The four subscales measured includes: (1) professional care, (2) availability of other services, (3) waiting time, and(4) satisfaction of laboratory service. The four factors had excellent reliability coefficients, ranging between 0.821 (professional care), 0.854 (availability of service), 0.730 (waiting time) and 0.717 (laboratory service). It is also observed that the full scale had excellent internal consistency (Cronbach’s alpha = 0.868). Conclusion: This study provides evidence of reliability and validity of the new survey tool for the measurement of outpatient service satisfaction in academic medical center. Limitations: This study was conducted in an academic center medical center hospital, therefore the outcome as well the developed research tool is not suitable for non-academic Hospitals.

Anahtar Kelimeler

• Outpatients’ Satisfaction, Reliability, Validity, Academic Medical Center Hospita

Kaynakça

1. Cleary PD, McNeil BJ. (1988), Patient satisfaction as an indicator of quality of care, Inquiry, Vol.25, pp.25-36.
2. Vuori, H. (1987), Patient satisfaction – an attribute or indicator of the quality of care?, QRB Qual Rev Bull.Vol.13, pp. 106-108.
3. Ware, J.E. and Hayes, R.D. (1988), ‘Methods for measuring patient satisfaction with specific medical encounter’, Med Care, Vol.26, pp.393-402.
4. Vuori, H. (1991), ‘Patient satisfaction – Does it matter?’ Qual Assur in Health care, Vol.3, pp.183-189.
5. Carr-Hill, R. (1992), ‘The Measurement of patient satisfaction’, J Public Health Med. Vol.14 No.3, pp. 236-249.
6. Williams, B. (1994), ‘Patient satisfaction: a valid report?’,SocSci Med, Vol.38 No.4, pp. 509-516.
7. Scott, A., Smith, R.D. (1994), ‘Keeping the customer satisfied: Issues in the interpretation and use of patient satisfaction surveys’, Qual Assur in Health Care, Vol.6, pp.353-359.
8. O’Connell, B., Young, J. and Twigg, D. (1999), ‘Patient satisfaction with nursing care: a measurement conundrum’, Int. J. Nurs. Pract, Vol.5, pp.72-77.

9. Donabedian, A. (1966), ‘Evaluating the quality of medical care’, Milbank Mem Fund, Vol.44 No.1, pp.166-206.
10. Ware, J.E., Jr, A. Davies- Avery. and A.L. Stewart. (1978), ‘The measurement and meaning of patient satisfaction’, Health Med. Serv. Rev, Vol.1 No.1, pp.3-15.
11. Crow, R., Gage, H., Hampson, S., Hart, J., Kimber, A., Storey, L. and Thomas, H. (2002), ‘The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature’, Health Technology Assessment, Vol.6 No.32.
12. Hall, J.A. and Dornan, M.C. (1988), ‘What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature’, Social Science & Medicine, Vol.27 No.9, pp.935-9.
13. Al-Faris, E., Khoja, T., Falouda, M. and Saeed, A. (1996), ‘Patients’ satisfaction with accessibility and services offered in Riyadh health centers’, Saudi M J, Vol.17, pp.11-7.
14. Mansour, A. and Al-Osimy, M. (1993), ‘A study of satisfaction among Primary Health care patients in Saudi Arabia’, J Community Health, Vol.18 No.3, pp.163-73.
15. Almoajel, A., Fetohi, E. and Alshamrani, A. (2014), ‘Patient satisfaction with primary health care in Jubail city, Saudi Arabia’, World Journal of medical sciences, Vol.11No.2, pp.255-264.
16. Asiri, N., Ahmed Bawazir, A.A.andJradi, H. (2013), ‘Patients’ satisfaction with health education services at primary health care centers in Riyadh, KSA’, J Community Med Health Educ, Vol.4, pp.1.
17. Mohamed, E.Y., Sami, W., Alotaibi, A.,Alfarag, A., Almutairi, A. and Alanzi, F. (2015), ‘Patients’ satisfaction with primary Health care centers’ services, Majmaah, KSA’, Int J Health Sci(Qassim), Vol.9 No.2, pp.163-70.
18. Al-Doghaither, A.H. and Abdalla, A. (2000), ‘Saeed. Consumers’ satisfaction with primary health services in the city of Jeddah, Saudi Arabia’. Saudi Medical Journal, Vol.21 No.5, pp. 447-454.
19. Al Umran, K., Albar, A., Al- Awdah, S., Al-Jaber, S. and Wosornu, L. (1995), ‘Patient satisfaction survey in a teaching hospital in Saudi Arabia: Preliminary Results’, J Family Community Med, Vol.2 No.2, pp.14-20.
20. Al-Doghaither, A.H.(2000), ‘Inpatients satisfaction with nursing services at King Khalid university hospital, Riyadh, Saudi Arabia’. J Family Community Med, Vol.7 No.3, pp.37-45.
21. Cronbach, L.J. (1951), ‘Coefficient alpha and the internal structure of tests’, Psychometrika, Vol.16, pp.297-34.
22. Kaiser, H.F. (1974), ‘An index of factorial simplicity’, Psychometrika. Vol.39, pp. 31-6.
23. Anastasiadou, S., Anastasiadis, L., Angeletos, T. and Vandikas, J. (2010), ‘A multidimensional statistical analysis of students’ attitude toward physics’, Int J Divers Organ Communities Nations, Vol.16, pp.341-56.
24. Li W., Zhang JQ., Sun J., Tan, P.F.and Wang S. (2007), ‘Reliability and validity of job content questionnaire in Chinese petrochemical employees’, Psychol Rep, Vol.100, pp.35-46.
25. Beasley, B.W., Kern, D.E., Howard, D.M., Kolodner, K. (1999), ‘A job satisfaction measure for internal medicine residency program directors’, Acad Med. Vol.74, pp.263-70.
26. Wolosin, R.J., Gesell, S.B., Taber, B. and Epting, G.J. (2006), ‘Construct validation of a physician satisfaction survey’, J Health Qual, Vol.28, pp. 10-21.
27. Weiss, D.J., Dawis, R.V., England, G.W. and Lofquist, L.H. (1977), ‘Minnesota Studies in Vocational Rehabilitation 22. Minneapolis: University of Minnesota’, Manual of the Minnesota satisfaction questionnaire. Industrial Relations Center Bulletin 45.
28. Li j, Yang W., Liu P., Xu Z.and Cho SI. (2004), ‘Psychometric evaluation of the Chinese (mainland) version of job content questionnaire: A study in university hospitals’, Ind Health, Vol.42, pp.260-7.
29. Lloyd, S., Streiner, D., Hahn, E. and Shannon, S. (1994), ‘Development of the emergency physician job satisfaction measurement instrument’, Am J Emerg Med, Vol.12, pp.1-10.
30. Garcia-Pena, M.C., Reyes-Lagunes, I., Reyes-Frausto, S., Villa- Contreras, S., Libreros- Bango, V.and Munoz Hernandez, O. (1996), ‘Development and validation of an inventory for measuring job satisfaction among family physicians’, Psychol Rep, Vol.79, pp.291-301.
31. Soo Hoo, W.E. andRamer, L. (1998), ‘Development of the physician satisfaction survey instrument’,J Health Qual. Vol.20, pp.34-8.
32. AL-Kuwaiti, A. (2014), ‘Health science students’ attitude towards research training programs in the Kingdom of Saudi Arabia: Reliability and Validity of the questionnaire instrument’, J Family Community Med, Vol. 21No.2, pp.134-138.