medigraphic.com
ISSN 0016-3813 (Print)

2016, Number 1

<< Back Next >>

Gac Med Mex 2016; 152 (1)

Construction and validation of an instrument to assess primary care level patient satisfaction

Silberman MS, Moreno-Altamirano L, Hernández-Montoya D, Martínez-González A, Ochoa Díaz-López H

Language: Spanish
References: 35
Page: 43-50
PDF size: 91.97 Kb.


ABSTRACT

Objective: To develop an instrument to assess the satisfaction of patients using health services at the first care level of the city of Mexico (SSA), adapted to the socio-cultural characteristics of the population, and to examine its reliability and validity. Methods: The instrument reagents were designed using the natural semantic networks technique. The dimensions used have been determined from the literature. Participants included 230 adults with type 2 diabetes attending eight SSA health centers. Subsequently, intelligibility was determined by conducting a pilot, then the construct validity of the instrument by means of exploratory factor analysis was evaluated and its internal consistency was determined by calculating Cronbach’s alpha. Results: The questionnaire is composed of six factors with a Likert-type scale. Its consistency showed a Crombach´s alpha of 0.94. The factor structure included 29 reagents that correlated with the six dimensions with factorial loads › 0.581 that explained 66.8% of the total variance. Conclusions: The patient satisfaction questionnaire incorporates the sociocultural characteristics of the target population and has an adequate level of validity and reliability and is quick and easy in application.


REFERENCES

  1. OMS. Alma Ata 1978, Atención Primaria de la Salud. 4.a ed. Ginebra: OMS; 1984. p. 93. [Internet] Disponible en: http://whqlibdoc.who.int/ publications/9243541358.pdf.

  2. Macinko J, Montenegro H, Nebot Adell C, Etienne C; Grupo de Trabajo de Atención Primaria de Salud de la Organización Panamericana de la Salud. [Renewing primary health care in the Americas]. Rev Panam Salud Publica. 2007;21(2/3):73-84.

  3. OMS. La atención primaria de la salud. Más necesaria que nunca. Ginebra, Suiza: OMS; 2008. p. 18-20. [Internet] Disponible en: http:// www.who.int/whr/2008/08_report_es.pdf.

  4. Serrano del Rosal R, Loriente-Arín N. [The anatomy of patient satisfaction]. Salud Publica Mex. 2008;50(2):162-72.

  5. Mpinga EK, Chastonay P. Satisfaction of patients: a right to health indicator? Health Policy. 2011;100(2-3):144-50.

  6. Rodríguez Balo A. Que se puede hacer para mejorar la calidad del proceso asistencial. Una perspectiva desde Atención Primaria. Administración Sanitaria. 2006;4(2):251-70.

  7. Starfield B. Equidad en salud y atención primaria: Una meta para todos. Gerencia y políticas de salud. Pontificia Universidad Javeriana Bogotá, Colombia. 2001;1(1):7-16.

  8. Strasser S, Davis RM. Measuring patient satisfaction for improved patent services. Ann Arbor, MI: Health Administration Press; 1991. p. 210.

  9. Linder-Pelz S. Toward a theory of patient satisfaction. Soc Scie Med. 1982;16(5):577-82.

  10. Kleefstra SM, Kool RB, Veldkamp CM, et al. A core questionnaire for the assessment of patient satisfaction in academic hospitals in The Netherlands: development and first results in a nationwide study. Qual Saf Health Care. 2010;19(5):e24.

  11. Hamui Sutton L, Fuentes García R, Aguirre Hernández R, Ramírez de la Roche O. Expectativas y experiencias de los usuarios del sistema de salud de México. Un estudio de satisfacción con la atención médica. 1.a ed. México, D.F.: Universidad Nacional Autónoma de México; 2013. p. 208.

  12. Fitzpatrick R. Surveys of patient satisfaction: I-Important general considerations. BMJ. 1991;302(6781):887-9.

  13. Dufrene RL. An evaluation of a patient satisfaction survey: validity and reliability. Evaluation and Program Planning. 2000;23(3):293-300. [Internet] Disponible en: http://linkinghub.elsevier.com/retrieve/pii/S014971890000015X.

  14. Hall JA, Dornan MC. Meta-analysis of satisfaction with medical care: Description of research domain and analysis of overall satisfaction levels. Soc Scie Med. 1988;27(6):637-44.

  15. Etter JF, Perneger TV. Validating a satisfaction questionnaire using multiple approaches: a case study. Soc Sci Med. 1997;45(6):879-85.

  16. Doubova SV, Pérez-Cuevas R, Zepeda-Arias M, Flores-Hernández S. Satisfaction of patients suffering from type 2 diabetes and/or hypertension with care offered in family medicine clinics in Mexico. Salud Publica Mex. 2009;51(3):231-9.

  17. Guzmán MA, Ramos-Córdova LF, Castañeda-Sánchez O, del Castillo- Sánchez DL, Gómez-Alcalá AV. [Satisfaction of users at a family medicine unit]. Rev Med Inst Mex Seguro Soc. 2006;44(1):39-45.

  18. Aguirre-Gas H. [Evaluation of the medical care quality. Expectations of the patients and the workers of the medical units]. Salud Publica Mex. 1990;32(2):170-80.

  19. Avila Alpirez H, Rizo Baeza M, Flores Peña Y. Acción del cuidado enfermero en los pacientes con diabetes tipo 2. Matamoros, Tamaulipas, México. Cultura de los Cuidados. 2007;XI(22):80-6.

  20. Prince M, Acosta D, Chiu H, Scazufca M, Varghese M; 10/66 Dementia Research Group. Dementia diagnosis in developing countries: a crosscultural validation study. Lancet. 2003;361(9361):909-17.

  21. Kessner DM, Kalk CE, Singer J. Assessing health quality--the case for tracers. N Engl J Med. 1973 Jan 25;288(4):189-94.

  22. Neuhauser D. Assessing health quality: the case for tracers. J Health Serv Res Policy. 2004;9(4):246-7.

  23. Reyes Lagunes I. Las redes semánticas naturales, su conceptualización y su utilización en la construcción de instrumentos. Revista de Psicología Social y Personalidad. 1993;9(1):81-97.

  24. Vera Noriega JÁ, Pimentel CE, De Albuquerque JB. Redes semánticas: aspectos teóricos, técnicos, metodológicos y analíticos. Ra Ximhai, Sociedad, Revista de Desarrollo, Cultura. 2005;1(3):439-51.

  25. Marshall GN and RDH. The Patient Satisfaction Questionnaire Short Form (PSQ-18). Santa Monica, CA.; 1994.

  26. Figueroa JG, González E, Solis V. Una aproximación al problema del significado: las redes semánticas. Revista Latinoamericana de Psicología. 1981;13(3):447-58.

  27. Garson G. Factor analysis. Statnotes: Topics in multivariate analysis. 2011. [Internet]. Consultado el 30 de agosto de 2012. Disponible en: http://faculty.chass.ncsu.edu/garson/pa765/.

  28. Mira JJ, V JA, Rodriguez-Marín J, Antonio J, Hernández UM. SERVQHOS : un cuestionario para evaluar la calidad percibida de la atención hospitalaria. Medicina Preventiva. 1998;4:1-15.

  29. Marshall GN. Rand cuestionaire.pdf. Santa Monica, CA: Rand; 1994. p. 39.

  30. Bronfman-Pertzovsky MN, López-Moreno S, Magis-Rodríguez C, Moreno- Altamirano A, Rutstein S. [Prenatal care at the first level of care: characteristics of providers that affect users’ satisfaction]. Salud Publica Mex. 2003;45(6):445-54.

  31. Ramírez-Sánchez TJ, Nájera-Aguilar P, Nigenda-López G. [Perception of the quality of care in the health services in Mexico. perspective of the users]. Salud Publica Mex. 1998;40(1):1-10.

  32. Del Pilar Lavielle-Sotomayor M, Cerón-Ruiz M, Tovar-Larrea P, Bustamante- Rojano JJ. [Health care satisfaction. From the perspective of patients]. Rev Med Inst Mex Seguro Soc. 2008;46(2):129-34.

  33. Oropeza Abúndez C. Encuesta Nacional de Salud 2000 1. Vivienda, población y utilización de servicios de salud. 1.a ed. Cuernavaca, Morelos: Instituto Nacional de Salud Pública; 2000. p. 292.

  34. Olaiz-Fernández G, Rivera-Dommarco J, Shamah-Levy T, Rojas R, Villalpando- Hernández S, Hernández-Avila M S-AJ. Encuesta Nacional de Salud y Nutrición 2006. 1.a ed. Cuernavaca, Morelos: Instituto Nacional de Salud Pública; 2006. p. 132.

  35. Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, Romero-Martínez M H-ÁM. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, Morelos: Instituto Nacional de Salud Pública; 2012. p. 200.




2020     |     www.medigraphic.com