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Psychometric Validation of an Instrument for Measuring Patient Experiences with Outpatient Healthcare Cover

Psychometric Validation of an Instrument for Measuring Patient Experiences with Outpatient Healthcare

Open Access
|Jun 2023

Figures & Tables

Table 1.

Frequencies and percentages of item responses.

Item*Responses (%)
YesNoNA
Q3 Problems making appointment240 (3.0)7231 (90.1)552 (6.9)
No problemsMinor problemsMajor problemNA
Q5 Waiting list problem6422 (77.3)1235 (14.9)355 (4.3)296 (3.6)
Not at allNot particularlyYes, to some extentYes, certainlyNA
Q6 Kind reception33 (0.4)33 (0.4)395 (4.7)7812 (93.6)73 (0.9)
Less than 15 min15–30 min30–60 minMore than 60 min
Q7 Waiting beyond scheduled time5045 (60.5)2468 (29.6)655 (7.9)175 (2.1)
YesNoNA
Q8 Needed to wait for Information765 (12.5)860 (14.1)4476 (73.4)
YesPartlyNo
Q9 Premises in order8028 (96.3)267 (3.2)42 (0.5)
Not at allNot particularlyYes, to some extentYes, certainlyNA
Q10 Sufficient privacy39 (0.5)53 (0.7)688 (8.5)7326 (90.4)
Q12 Doctor polite and respectful21 (0.3)42 (0.5)425 (5.1)7830 (94.1)
Q13 Explanation easy to understand31 (0.4)78 (0.9)746 (9.0)6936 (83.3)538 (6.5)
Q14 Could ask doctor questions99 (1.2)141 (1.7)716 (8.6)5159 (62.2)2183 (26.3)
Not at allNot particularlyYes, to some extentYes, certainlyDid not wantNo need
Q15 Involved in decisions62 (0.8)108 (1.3)840 (10.2)4907 (59.4)171 (2.1)2175 (26.3)
Did the doctor give an explanation…?Not at allNot particularlyYes, to some extentYes, certainlyNA
Q16a …the necessity of the intervention?65 (0.9)119 (1.6)491 (6.6)4596 (62.2)2124 (28.7)
Q16b … how it will proceed?96 (1.4)174 (2.5)556 (8.1)4196 (61.3)1819 (26.6)
Q16c …the expected results?92 (1.4)203 (3.0)784 (11.6)3646 (54.1)2009 (29.8)
Q16d …the possible risks etc.?199 (3.09)312 (4.6)615 (9.1)3386 (50.2)2230 (33.1)
Q17 Doctor spent enough time with you48 (0.6)106 (1.3)1224 (14.8)6869 (83.3)
YesNo
Q18 Medication prescribed2919 (37.5)4873 (62.5)
YesNoNA
Q19 Information about how to take medicines2450 (79.1)190 (6.1)459 (14.8)
Q20 Information about side-effects1778 (58.1)704 (23.0)580 (18.9)
Not at allNot particularlyYes, to some extentYes, certainlyNo contact
Q21 Nurse polite and respectful11 (0.1)14 (0.2)318 (3.8)7827 (94.0)161 (1.9)
Q22 Could ask nurse questions39 (0.5)110 (1.3)639 (7.7)7163 (86.7)312 (3.8)
Not at allNot particularlyYes, to some extentYes, certainlyNo contactNo need
Q23 Nurse explained procedures66 (0.8)147 (1.8)530 (6.4)4962 (60.0)901 (10.9)1663 (20.1)
YesNoDon’t know
Q24 Information on patients’ rights available3952 (49.6)610 (7.7)3406 (42.7)
YesNo
Q25 Opinion/results given immediately5289 (65.2)2820 (34.8)
Not at allNot particularlyYes, to some extentYes, certainly
Q26 Clear how the treatment would proceed100 (1.2)180 (2.2)1152 (14.1)6757 (82.5)

Legend: NA = not applicable.

* Only abbreviated items are shown. Percentages are in parentheses and are based on valid responses (including “not applicable”)

Figure 1.

Standardized factor loadings (circles) with 95% confidence intervals (lines). Left: doctor’s work; right: nurses’ work.

Figure 2.

Person-item maps for the doctor’s work scale (above) and the nurses’ work scale (below).

Legend: Numbered circles indicate transition points where the two adjacent categories are equally likely to be chosen.

Figure 3.

Category scale values for the optimally scaled item responses.

Legend: Symbols denote the scale values of subsequent categories: o = “not at all” … x = “yes, certainly”.

Table 2.

Frequencies and percentages of item responses.

Item*nMMtrimMdnSDMinMaxSkewnessKurtosis
doctor’s work300233.8834.85363.93936−2.718.33
nurses’ work562811.6411.91120.98312−3.7217.25
general rating83079.359.62101.23010−3.0412.65

[i] Legend: The scale scores were calculated only for persons without NA responses. Mtrim=10% trimmed mean.

DOI: https://doi.org/10.2478/sjph-2023-0021 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 153 - 161
Submitted on: Sep 6, 2022
Accepted on: May 11, 2023
Published on: Jun 13, 2023
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services

© 2023 Gregor Sočan, Dolf De Boer, Eva Murko, Marcel Kralj, Nina Ropret, Metka Zaletel, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.