Diş Sağlığı Hizmetlerinde Hasta Memnuniyeti Ölçeği Geçerlilik ve Güvenilirlik Çalışması

Yıl 2024, Cilt: 11 Sayı: 2, 169 - 176, 19.08.2024

Baha Öz , Meltem Saygılı

https://doi.org/10.15311/selcukdentj.1393867

Öz

Amaç: Bu çalışmanın amacı Luo ve ark. (2018) tarafından nitel bir araştırma ile kapsamı yeniden değerlendirilen DSQ ölçeğinin yeni halinin geçerlilik ve güvenilirlik çalışmasının yapılarak, Türkçeye kazandırılmasıdır.
Gereç ve Yöntem: Luo ve ark. (2018) tarafından odak grup çalışmasıyla tematik analiz yapılan ve eklenmesi gereken yeni alanlar önerdiği yeni DSQ ölçeği için kapsam ve dil geçerliliği aşaması ISPOR’un on adımlık çeviri ve kültürel adaptasyon rehberi temelinde yürütülmüştür. Ölçeğin uygulama aşamasında bir diş hekimliği fakültesine ağız ve diş sağlığı hizmeti almak üzere başvuran 250 gönüllü hastadan yüz yüze görüşme yöntemiyle veri elde edilmiştir. Analizler SPSS-AMOS-21 programları ile yürütülmüştür. Yapı geçerliliği için ise Kaiser Meyer-Olkin ve Bartlett Küresellik Testi yapılmış, ardından açımlayıcı faktör analizi ve doğrulayıcı faktör analizi gerçekleştirilmiştir. Ölçeğin güvenirliğini belirlemek için madde toplam korelasyonu ve Cronbach’s Alpha iç tutarlılık katsayısı kullanılmıştır.
Bulgular: Gerçekleştirilen faktör analizi sonucunda 16 maddeli ve 2 faktörlü bir ölçek ortaya konulmuştur (KMO=0.820; Bartlett (χ2=1100.755). Ölçeğin toplam varyansı açıklama oranı ise % 40.295’tir. Doğrulayıcı faktör analizinde 16 soru ve 2 boyut dâhil edilerek elde edilen modelin uyum iyilikleri değerlerinin kabul edilebilir düzeyde olduğu belirlenmiştir (χ2/sd=1.626; p<0.001; RMSEA=0.056; GFI=0.927; AGFI=0.922; CFI=0.970; RMR=0.05). Ölçeğin alt boyutları ve ölçek toplamı için güvenirlik katsayıları sırasıyla; 0.807; 0.656 ve 0.799 bulunmuştur.
Sonuç: Elde edilen sonuçlar Diş Sağlığı Hizmetlerinde Hasta Memnuniyeti Ölçeği’nin, hizmet sunumunda hasta memnuniyetini değerlendirmek üzere kullanılabilecek geçerli ve güvenilir bir araç olduğunu göstermektedir.
Anahtar Kelimeler: Ağız ve Diş Sağlığı Hizmetleri, Hasta Memnuniyeti, Geçerlilik, Güvenilirlik, Ölçek.

Anahtar Kelimeler

Ağız ve Diş Sağlığı Hizmetleri, Hasta Memnuniyeti, Geçerlilik, Güvenilirlik, Ölçek.

Validity and Reliability Study of Patient Satisfaction Scale in Dental Health Services

Öz

Objective: The purpose of this study is to translate the new version of the DSQ scale, whose scope was reevaluated by Luo et al. (2018) through a qualitative study, into Turkish by conducting a validity and reliability study.
Materials and Methods: The scope and language validity phase of the new DSQ scale, which was thematically analyzed by Luo et al. (2018) through a focus group study and suggested new areas to be added, was carried out on the basis of ISPOR's ten-step translation and cultural adaptation guide. In the application phase of the scale, data were obtained from 250 volunteer patients who applied to a dental school to receive oral and dental health services by face-to-face interview method. Analyses were conducted with SPSS-AMOS-21 programs. For construct validity, Kaiser Meyer-Olkin and Bartlett Sphericity Test were performed, followed by exploratory factor analysis and confirmatory factor analysis. Item-total correlation and Cronbach's Alpha internal consistency coefficient were used to determine the reliability of the scale.
Findings: The factor analysis revealed a scale with 16 items and 2 factors (KMO=0.820; Bartlett χ2=1100.755). The rate of explaining the total variance of the scale is 40.295%. In confirmatory factor analysis, it was determined that the goodness of fit values of the model obtained by including 16 questions and 2 dimensions were at an acceptable level (χ2/sd=1.626; p<0.001; RMSEA=0.056; GFI=0.927; AGFI=0.922; CFI=0.970; RMR=0.05). The reliability coefficients for the subscales and the total scale were 0.807; 0.656 and 0.799, respectively.
Conclusion: The results obtained show that the Patient Satisfaction in Dental Health Services Scale is a valid and reliable tool that can be used to evaluate patient satisfaction in service delivery.
Keywords: Oral and Dental Health Services, Patient Satisfaction, Validity, Reliability, Scale.

Anahtar Kelimeler

Oral and Dental Health Services, Patient Satisfaction, Validity, Reliability, Scale.

Kaynakça

• 1. Lliffe S, Wilcock J, Manthorpe J, Moriarty J, Cornes, M, Clough R, at al. Can clinicians benefit from patient satisfaction surveys? Evaluating the NSF for Older People, 2005–2006. Journal of the Royal Society of Medicine 2008; 101(12): 598-604. https://doi.org/10.1258%2Fjrsm.2008.080103
• 2. Dewi FD, Sudjana G, Oesman YM. Patient satisfaction analysis on service quality of dental health care based on empathy and responsiveness. Dental research journal 2011; 8(4): 172-177. Doi: 10.4103/1735-3327.86032 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3221083/
• 3. Park S, Kim HK, Choi M, Lee M. Factors affecting revisit intention for medical services at dental clinics. PloS one 2021; 16 (5): e0250546. https://doi.org/10.1371/journal.pone.0250546
• 4. Siripipatthanakul S, Vui CN. A conceptual review on the mediating effect of patient satisfaction towards patient loyalty in the dental practice in Thailand. International Journal of Behavioral Analytics 2021; 1(2): 1-16.
• 5. Cronin Jr JJ, Brady MK, Hult GTM. Assessing the effects of quality, value, and customer satisfaction on consumer behavioral intentions in service environments. Journal of retailing 2000; 76(2): 193-218. https://doi.org/10.1016/S0022-4359(00)00028-2
• 6. Rai A, Shrestha S, Ayer A, Agrawal N, Vikram M. Satisfaction With Dental Care Among The Dental OPD Attendees At A Tertiary Care Hospital in Eastern Nepal. European Journal of Biomedical 2023; 10(2): 457-463. https://www.ejbps.com/issue/2023/Volume%2010,%20February%20Issue%202
• 7. Thach Phuong N, Vu Hoang P, Mac Dang T, Nguyen Thi Huyen T, Ngo Thi T. Improving hospital’s quality of service in Vietnam: the patient satisfaction evaluation in multiple health facilities. Hospital Topics 2023; 101(2): 73-83. https://doi.org/10.1080/00185868.2021.1969871
• 8. Aljarallah NA, Almuqbil M, Alshehri S, Khormi AMS, AlReshaidan RM, Alomran F. At al. Satisfaction of patients with health care services in tertiary care facilities of Riyadh, Saudi Arabia: A cross-sectional approach. Frontiers in Public Health 2023; 10(1): 1-11. https://doi.org/10.3389/fpubh.2022.1077147
• 9. Rai A, Shrestha S, Ayer A, Agrawal N. Vikram M. Nepali Translation and Validation of Dental Satisfaction Questionnaire. Birat Journal of Health Sciences 2022; 7(2): 1775-1779. https://doi.org/10.3126/bjhs.v7i2.49297
• 10. Atasever M, Bağcı H. Türkiye Sağlık Sistemi, Ankara: Akademisyen Kitabevi; 2020. s. 144-146. Erişim adresi: https://books.google.com.tr/books?id=zSLbDwAAQBAJ&printsec=frontcover&hl=tr#v=onepage&q&f=false Erişim Tarihi: 20.11.2023
• 11. Ahmady AE, Pakkhesal M, Zafarmand AH. Lando HA. Patient satisfaction surveys in dental school clinics: a review and comparison. Journal of dental education 2015; 79(4): 388-393. http://dx.doi.org/10.1002/j.0022-0337.2015.79.4.tb05895.x
• 12. Klaassen H, Dukes K. Marchini L. Patient satisfaction with dental treatment at a university dental clinic: A qualitative analysis. Journal of dental education 2021; 85(3): 311-321. https://doi.org/10.1002/jdd.12428
• 13. Zarei E, Daneshkohan A, Pouragha B, Marzban S, Arab M. An empirical study of the impact of service quality on patient satisfaction in private hospitals, Iran. Global journal of health science 2015; 7(1): 1-9. https://doi.org/10.5539%2Fgjhs.v7n1p1 14. Tekinalp M. Şahinöz T. Bekleme Sürelerinin Hasta Memnuniyeti Üzerinde Etkilerinin Ölçülmesi. ODÜ Tıp Dergisi 2021; 8(3): 13-18.
• 15. Gürdal P, Çankaya H, Önem E, Dinçer S. Yílmaz T. Factors of patient satisfaction/dissatisfaction in a dental faculty outpatient clinic in Turkey. Community dentistry and oral epidemiology 2000; 28(6): 461-469. https://doi.org/10.1034/j.1600-0528.2000.028006461.x
• 16. Nair R, Ishaque S, Spencer AJ, Luzzi L. Do LG. Critical review of the validity of patient satisfaction questionnaires pertaining to oral health care. Community dentistry and oral epidemiology 2018; 46(4): 369-375. https://doi.org/10.1111/cdoe.12377
• 17. Davies AR, Ware Jr JE. Meaing patient satisfaction with dental care. Social Science & Medicine, Part A: Medical Psychology & Medical Sociology 1981; 15(6): 751-760. https://doi.org/10.1016/0271-7123(81)90019-5
• 18. Corah NL, O'Shea RM, Pace LF, Seyrek SK. Development of a patient measure of satisfaction with the dentist: the Dental Visit Satisfaction Scale. Journal of Behavioral Medicine 1984; 7(4): 367-373.https://doi.org/10.1007/bf00845270
• 19. Babakus E, Mangold WG. Adapting the SERVQUAL scale to hospital services: an empirical investigation. Health services research 1992; 26(6): 767-786. PMID: 1737708; PMCID: PMC1069855.
• 20. Stewart JF, Spencer AJ. Dental Satisfaction Survey 2002, Canberra: Australian Institute of Health and Welfare. Erişim Adresi https://www.aihw.gov.au/getmedia/b2e2ebf0-2fd6-4f43-807b-aa90d3d52f7f/2002-satisfaction.pdf.aspx?inline=true Erişim Tarihi:20.11.2023
• 21. Aydın R, Altunkaynak B, Kayaoğlu G. Gazi Üniversitesi Diş Hekimliği Fakültesi endodonti kliniklerinde hasta memnuniyeti: anket çalışması. Acta Odontologica Turcica 2019; 36(1): 21-27.http://dx.doi.org/10.17214/gaziaot.459171
• 22. Edis EK, Hupal AF. Bir Ağız ve Diş Sağlığı Merkezi (ADSM)’de Hasta Memnuniyeti. Sağlıkta Performans ve Kalite Dergisi 2018; 14(2): 11-23.
• 23. Golletz D, Milgrom P, Mancl L. Dental Care Satisfaction: the Reliability and Validity of the DSQ in a Low‐income Population. Journal of public health dentistry 1995; 55(4): 210-217. https://doi.org/10.1111/j.1752-7325.1995.tb02372.x
• 24. Skaret E, Berg E, Raadal M, Kvale G. Factors related to satisfaction with dental care among 23‐year olds in Norway. Community dentistry and oral epidemiology 2005; 33(2): 150-157. https://doi.org/10.1111/j.1600-0528.2004.00208.x
• 25. Imanaka M, Nomura Y, Tamaki Y, Akimoto N, Ishikawa C, Takase H, at al. Validity and reliability of patient satisfaction questionnaires in a dental school in Japan. European Journal of Dental Education 2007; 11(1): 29-37. https://doi.org/10.1111/j.1600-0579.2007.00438.x
• 26. Tahani B, Najimi A, Fazel M, Salavati M. Assessing the validity and reliability of persian version of DQS (Dental Satisfaction Questionnaire). Iranian Journal of Epidemiology 2019; 14(4): 349-358. Erişim Adresi: https://irje.tums.ac.ir/article-1-6198-en.pdf Erişim Tarihi: 19.11.2023
• 27. López-Garvi AJ, Montiel-Company JM, AS J. Cross-cultural adaptation, validity and psychometric properties of the Spanish version of the dental satisfaction questionnaire. Community Dental Health 2014; 31(1): 44-9. http://dx.doi.org/10.1922/CDH_3264Silla06
• 28. Luo JYN, Liu PPü, Wong MCM. Patients’ satisfaction with dental care: a qualitative study to develop a satisfaction instrument. BMC oral health 2018; 18(1): 1-10. https://doi.org/10.1186/s12903-018-0477-7
• 29. Soto AL, Gutiérrez-Marín N. Validez de la versión al español del “Dental Satisfaction Questionnaire” en una población costarricense. Revista iDental, ULACIT-Costa Rica 2022; 14(1): 52-63. Erişim Adresi: http://www.idental.periodikos.com.br/journal/idental/article/63865827a953954687564672 Erişim Tarihi: 20.11.2023
• 30. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, at al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value in health 2005; 8(2): 94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
• 31. Tabachnick BG, Fidell LS. Experimental designs using ANOVA, Belmont, CA: Thomson/Brooks/Cole.
• 32. Mohammadbeigi A, Mohammadsalehi N, Aligol M. Validity and reliability of the instruments and types of measurments in health applied researches. Journal of rafsanjan university of medical sciences 2015; 13(12): 1153-1170. http://journal.rums.ac.ir/article-1-2274-en.html
• 33. 33. Bolarinwa OA. Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Nigerian Postgraduate Medical Journal 2015; 22(4): 195-201. https://doi.org/10.4103/1117-1936.173959
• 34. Tavsancil, E. Tutumların ölçülmesi ve SPSS ile veri analizi, 6. baskı. Ankara: Nobel Yayınları,2009.
• 35. Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Multivariate data analysis, 7th Edition. New Jersey: Prentice Hall.
• 36. Yaşlıoğlu MM. Sosyal bilimlerde faktör analizi ve geçerlilik: Keşfedici ve doğrulayıcı faktör analizlerinin kullanılması. İstanbul Üniversitesi İşletme Fakültesi Dergisi 2017; 46: 74-85. http://dergipark.ulakbim.gov.tr/iuisletme
• 37. Özdamar K. Paket Programlarla İstatistiksel Veri Analizi-1, 5. Baskı. Eskişehir: Kaan Kitabevi,1997.
• 38. Alpar R. Uygulamalı Çok Değişkenli İstatistik Yöntemler, 6. Baskı. Ankara: Detay Yayıncılık,2020.
• 39. Fornell C, Larcker DF. Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. Journal of Marketing Research 1981; 18(1): 39-50.
• 40. Bagozzi RP, Yi Y, Philips LW. Assessing Construct Validity In Organizational Research. Administrative Science Quarterly 1991; 36(3): 421-458.
• 41. Huang CC, Wang Y, Wu T, Wang P. An Empirical Analysis of the Antecedents and Performance Consequences of Using the Moodle Platform, International Journal of Information and Education Technology 2013; 3(2): 217-221.
• 42. Buric I, Soric I, Penezic Z. Emotion Regulation in Academic Domain: Development and Validation of The Academic Emotion Regulation Questionnaire (AERQ). Personality and Individual Differences 2016; 96: 138-147.
• 43. Balkaran, R. L., Osoba, T., Rafeek, R. A cross-sectional study of patients' satisfaction with dental care facilities: A survey of adult treatment at the University of the West Indies, School of Dentistry. The West Indian Medical Journal, 2014; 63(5): 490-498.