Journal of Healthcare Quality Research最新文献_第9页

Analysis of quality of life of patients with refractive errors in India 印度屈光不正患者的生活质量分析。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-01-01 DOI: 10.1016/j.jhqr.2024.08.001

Neha Purohit , Aarti Goyal , Parul Chawla Gupta , Kathirvel Soundappan , Atul Kotwal , Shankar Prinja

Introduction

It is important to determine the health-related quality of life (HRQoL) to devise population-based cost-effective service delivery models. The present study aimed to evaluate the HRQoL of patients with refractive errors (RE) using generic and vision-specific instruments, identify the determinants of HRQoL, and examine the validity between the quality-of-life instruments for refractive errors.

Methods

Face-to-face interviews were conducted with 515 participants with RE using generic as well as vision-specific HRQoL measures. Mean EuroQol-five dimensions-five levels (EQ-5D-5L) utility value, National Eye Institute-Visual Function Questionnaire-25 (NEI-VFQ-25) composite score, and EuroQol-Visual analogue scale (EQ-VAS) score were computed, and determinants of quality of life were determined using generalized linear regression model. The validity between generic and disease-specific measures was ascertained using Pearson's coefficient.

Results

The mean EQ-5D-5L utility score for patients with RE was estimated as 0.72 (95% CI: 0.70–0.75). The mean NEI-VFQ-25 composite score and EQ-VAS score were 71.3 (95% CI: 69.8–73), and 74.7 (95% CI: 73.4–76.1), respectively. Visual acuity, gender, and presence of co-morbidities were significantly associated with quality of life. The concurrence between the generic and vision-specific instruments was found to be low to moderate.

Conclusion

The findings of the study indicate the importance of the value of quality of life for patients with RE, which could be taken into account by health administrators, doctors and researchers to carry out economic evaluations, since these measures provide a basis for an evaluation more precisely the impact of RE and guide the determination of efficient ways to alleviate the burden of treatable visual impairment.

More research is required to explore the potential integration of a vision component, the sixth dimension, into the EQ-5D-5L instrument, given the moderate agreement observed between the generic and specific assessment tools.

简介确定与健康相关的生活质量（HRQoL）对于设计基于人群的具有成本效益的服务提供模式非常重要。本研究旨在使用通用工具和视力特异工具评估屈光不正（RE）患者的 HRQoL，确定 HRQoL 的决定因素，并检验屈光不正生活质量工具之间的有效性：方法：采用通用的和视力专用的 HRQoL 测量方法，对 515 名屈光不正患者进行了面对面访谈。计算了EQ-5D-5L（EuroQol-five dimensions-five levels）效用值、NEI-VFQ-25（National Eye Institute-Visual Function Questionnaire-25）综合评分和EQ-VAS（EuroQol-Visual analogue scale）评分的平均值，并使用广义线性回归模型确定了生活质量的决定因素。结果显示，EQ-5D-5L 的平均值高于 EQ-VAS 的平均值，EQ-5D-5L 的平均值高于 EQ-VAS 的平均值：RE 患者的平均 EQ-5D-5L 实用性评分估计为 0.72（95% CI：0.70-0.75）。NEI-VFQ-25综合评分和EQ-VAS评分的平均值分别为71.3（95% CI：69.8-73）和74.7（95% CI：73.4-76.1）。视力、性别和是否合并其他疾病与生活质量密切相关。研究发现，通用工具和视力特异工具之间的吻合度为中低：研究结果表明了视力障碍患者生活质量价值的重要性，卫生管理者、医生和研究人员在进行经济评估时可以考虑到这一点，因为这些措施为更准确地评估视力障碍的影响提供了基础，并指导确定有效的方法来减轻可治疗视力障碍的负担。鉴于通用评估工具和特定评估工具之间的一致性一般，因此需要开展更多研究，探索将视觉部分（第六维度）纳入 EQ-5D-5L 工具的可能性。

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引用次数: 0

Un modelo práctico para implementar la participación de pacientes en hospitales terciarios (modelo ICE) [在三级医院实施患者参与的实用模式（ICE 模式）]。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-01-01 DOI: 10.1016/j.jhqr.2024.09.003

Ana Martí, Clara Grau, Emmanuel Giménez, Karla Salas-Gama, Marta Aguayo, Antonio Román, Albert Salazar

Objective

Democratise healthcare and research through a model that ensures the participation of patients and professionals.

Method

Weaknesses are analysed and corrections are articulated with a model through biweekly meetings between the hospital's citizen attention and healthcare management.

Results

The resulting model is proactive in nature, deployed between November-2021 and December-2023 and had three elements: Information, Co-creation and Strategy (ICE). The Information is materialized with: an Association Attention Office (AAO) and an Easy Reading Commission (ERC). Co-creation is organized through Stable Work Commissions (SWC) formed by professional-patient. The Strategy that is materialized through a Strategic Plan for institutional participation and a Strategic Committee for participation. The AAO has registered 304 entities and managed 112 projects. The ERC has evaluated 41 documents in 2023. 13 SWCs related to therapeutic areas were generated where 108 professionals and 101 patient representatives participated and 42 objectives were agreed upon, working on templates for informative documents, guides or organizing informative days. The Strategic Participation Plan is translated into 8 lines with objectives and actions, creating the Strategic Participation Committee as the governing body.

Conclusions

The ICE-VH model is a replicable opportunity to implement patient and professional participation in any hospital and improve person-centered care by incorporating the values and preferences of all stakeholders.

目标：通过确保患者和专业人员参与的模式，实现医疗保健和研究的民主化：通过确保患者和专业人员参与的模式，实现医疗保健和研究的民主化：方法：通过医院的公民关注和医疗保健管理层之间的双周会议，分析薄弱环节，并通过一种模式明确改正措施：结果：所产生的模式具有前瞻性，在 2021 年 11 月至 2023 年 12 月期间部署，包含三个要素：信息、共创和战略（ICE）。信息通过协会关注办公室（AAO）和易读委员会（ERC）实现。共同创造是通过由专业人员和患者组成的稳定工作委员会（SWC）来组织的。该战略通过机构参与战略计划和参与战略委员会得以实现。AAO 注册了 304 个实体，管理着 112 个项目。ERC 在 2023 年评估了 41 份文件。13 个与治疗领域相关的战略委员会成立，108 名专业人员和 101 名患者代表参与其中，并就 42 个目标达成一致意见，共同制定信息文件模板、指南或组织信息日活动。战略参与计划被转化为 8 项目标和行动，并成立了战略参与委员会作为管理机构：结论：ICE-VH 模式是一个可复制的机会，可在任何医院实施患者和专业人员参与，并通过纳入所有利益相关者的价值观和偏好，改善以人为本的护理。

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引用次数: 0

Valor social integrado generado en un hospital monográfico de pacientes crónicos [慢性病人专科医院产生的综合社会价值]。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2025-01-01 DOI: 10.1016/j.jhqr.2024.09.002

José Antonio González-Gutiérrez , Iker Apraiz-Sánchez , Arantxa Picón-Santamaría , María Begoña de la Fuente-Martínez , Sendoa Ballesteros-Peña

Introduction

Measuring social value has always been a challenge for organizations that generate such value, including foundations, NGOs, social enterprises, and governmental entities. Often, the benefits of these initiatives are perceived as intangible or long-term, making them difficult to quantify. Assessing social value demonstrates the impact of investments and accountability to stakeholders.Healthcare organizations should be evaluated from a broad perspective, where the quality of healthcare services is an integral part of the social value with multiple beneficiaries.This study aims to determine the economic and social impact of Hospital Santa Marina on the Bizkaia (Basque Country) population in 2023, as well as to evaluate the evolution of the hospital's social value from 2018 to 2023.

Materials and methods

The study was conducted from the multifaceted perspective of social accounting (stakeholder theory), utilizing the Social Return on Investment (SROI) tool. The economic value of the hospital (both direct and indirect) and the hospital's specific social value were calculated based on areas identified by stakeholders. Subsequently, the hospital's integrated social value and socio-emotional value were determined.

Results

The hospital contributed €34,696,178.20 to society in Direct and Indirect Market Social Value (SROI), and the Non-Market Social Value amounted to €119,758,230.71. This generated an integrated social value of the hospital of €154,454,408.91, which, considering the satisfaction index for the year 2023 was 0.9805, leads to a socio-emotional value of €211,998,238.76.

Conclusions

Hospital Santa Marina generates significant economic value for the society, beyond its direct contribution to the population's health. These findings underscore the importance of adopting a broader perspective on health and highlight the role of healthcare institutions as drivers of sustainable development.

导言：对于创造社会价值的组织（包括基金会、非政府组织、社会企业和政府实体）来说，衡量社会价值一直是一项挑战。通常情况下，这些举措的效益被认为是无形的或长期的，因此难以量化。评估社会价值可以展示投资的影响和对利益相关者的责任。医疗机构应从广阔的视角进行评估，其中医疗服务的质量是社会价值不可分割的一部分，有多个受益者。本研究旨在确定 2023 年圣玛丽娜医院对比斯开亚（巴斯克地区）人口的经济和社会影响，并评估医院社会价值从 2018 年到 2023 年的演变情况：研究从社会会计（利益相关者理论）的多角度出发，利用社会投资回报率（SROI）工具进行。根据利益相关者确定的领域，计算了医院的经济价值（包括直接价值和间接价值）以及医院的具体社会价值。随后，确定了医院的综合社会价值和社会情感价值：医院为社会贡献了 34,696,178.20 欧元的直接和间接市场社会价值（SROI），非市场社会价值达 119,758,230.71 欧元。由此产生的医院综合社会价值为 154 454 408.91 欧元，考虑到 2023 年的满意度指数为 0.9805，其社会情感价值为 211 998 238.76 欧元：圣玛丽娜医院为社会创造了巨大的经济价值，而不仅仅是对居民健康的直接贡献。这些发现强调了从更广阔的视角看待健康问题的重要性，并突出了医疗机构作为可持续发展驱动力的作用。

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引用次数: 0

Promoting second victims’ intervention support programs 推广第二受害者干预支持计划。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2024-11-01 DOI: 10.1016/j.jhqr.2024.07.001

H. Knezevic Krajina , J. Mira , B. Knezevic , I. Carrillo , P. Sousa

引用次数: 0

Resultados del uso de Pulse Point Arrow como herramienta de lean healthcare en la gestión de la seguridad del paciente pediátrico en el área quirúrgica [使用脉搏点箭头作为精益医疗工具管理外科领域儿科患者安全的成果]。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2024-11-01 DOI: 10.1016/j.jhqr.2024.09.006

A. Cervera Barajas , L. López Rodríguez , E. Pérez Fernández , D. Moreno Borrego , R.M. Romero Ruiz , P. Bonachela Solás

Objective

To improve the safety's management in the urology paediatric surgical process of the Ambulatory Major Surgery Unit (AMSU) through the use of this tool.

Material and methods

Observational study lasting 9 months divided into a PRE-period for collecting information on the safety indicators defined by the team and reflected in the Pulse Point Arrow, using the “Hoja de Ruta”, an intervention period and a POST collection stage of the same information.

Results

In both periods, a total of 1464 “Hojas de Ruta” were collected in the CMA unit, 55.8% of the total corresponding to the PRE-period, and the rest to the POST.

The selected indicators improved significantly, highlighting the correct placement of bracelets, bed assignment, allergy registration, and administration of preoperative treatment.

Conclusions

The use of new management tools in healthcare systems is essential for improving healthcare processes and achieving better health outcomes. In our experience the introduction of Pulse Point Arrow improved results of surgical safety of the paediatric patient.

目的通过使用该工具，改善门诊大手术室（AMSU）泌尿科儿科手术过程的安全管理：观察研究为期 9 个月，分为前期（使用 "Hoja de Ruta "收集由团队定义并反映在脉搏点箭头中的安全指标信息）、干预期和后期（收集相同信息）：结果：在干预期和干预后两个阶段，CMA 共收集了 1464 条 "Hojas de Ruta"，其中 55.8%属于干预前阶段，其余属于干预后阶段。所选指标明显改善，突出表现在正确放置手环、床位分配、过敏登记和术前治疗管理等方面：在医疗系统中使用新的管理工具对于改善医疗流程和取得更好的医疗效果至关重要。根据我们的经验，脉冲点箭的引入提高了儿科患者的手术安全性。

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引用次数: 0

Enhancing vaccine accessibility and efficacy through microneedle patches 通过微针贴片提高疫苗的可及性和有效性。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2024-11-01 DOI: 10.1016/j.jhqr.2024.09.004

V. Kumar , N. Rai , S. Sah , M. Soni

引用次数: 0

Relationship between adherence to oral antidiabetic drugs and control of type 2 diabetes mellitus 坚持服用口服抗糖尿病药物与控制 2 型糖尿病之间的关系。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2024-11-01 DOI: 10.1016/j.jhqr.2024.06.007

E. Esquivel-Prados , E. Pareja-Martínez , J.P. García-Corpas

Introduction and objectives

Poor adherence to oral antidiabetic drugs (Adh-OAD) is a risk factor for poor control of type 2 diabetes mellitus (T2DM). Therefore, it is necessary to quantify the Adh-OAD. This quantification is possible through electronic dispensing records from the community pharmacy.

The objective was to evaluate the influence of the Adh-OAD on the control of T2DM and the percentage of glycosylated hemoglobin (%HbA1c) in the patient.

Materials and methods

A cross-sectional descriptive observational study was conducted in 8 community pharmacies in Granada (Spain). Patients older than 18 years with T2DM and on oral antidiabetic drugs (OADs) for at least 6 months were included. The main study variables were the control of T2DM, %HbA1c, and the Adh-OAD considering three cut-off points (≥80%, ≥70%, ≥60%). This relationship was studied using multivariate binary logistic regression and multivariate linear regression, respectively.

Results

A total of 107 patients were included. The mean age was 70.5 years (SD: 9.7), and 54.2% were men. Eighty-five patients (79.4%) had well-controlled T2DM (mean %HbA1c: 6.5%; SD = 0.6). Considering Adh-OAD ≥ 80%, 13.1% (n = 14) had a poor adherence and was related to the %HbA1c (β = 0.742; p = 0.007) and the control of T2DM (OR: 7.327; 95% CI: 1.302–41.241). Poor adherence was found in 9.3% (n = 10) considering Adh-OAD ≥ 70% and in 3.7% (n = 4) considering Adh-OAD ≥ 60%. In both cases, a statistically significant relationship was found between Adh-OAD and the %HbA1c and between Adh-OAD and the control of T2DM.

Conclusions

Adh-OAD influenced the %HbA1c in patients with T2DM and the control of their disease.

导言和目标：口服抗糖尿病药物（Adh-OAD）依从性差是 2 型糖尿病（T2DM）控制不佳的一个风险因素。因此，有必要对 Adh-OAD 进行量化。通过社区药房的电子配药记录可以进行量化。目的是评估 Adh-OAD 对 T2DM 控制和患者糖化血红蛋白百分比（%HbA1c）的影响：在格拉纳达（西班牙）的 8 家社区药房开展了一项横断面描述性观察研究。研究对象包括 18 岁以上的 T2DM 患者，这些患者至少服用过 6 个月的口服抗糖尿病药物 (OAD)。研究的主要变量是 T2DM 控制率、血红蛋白 A1c 百分比和 Adh-OAD，考虑了三个截断点（≥80%、≥70%、≥60%）。分别采用多变量二元逻辑回归和多变量线性回归对这一关系进行了研究：共纳入 107 名患者。平均年龄为 70.5 岁（SD：9.7），54.2% 为男性。85名患者（79.4%）的 T2DM 控制良好（平均 HbA1c 百分比：6.5%；SD=0.6）。考虑到 Adh-OAD≥80% 的患者，13.1%（14 人）的依从性较差，这与 HbA1c%（β=0.742；P=0.007）和 T2DM 控制情况（OR：7.327；95% CI：1.302-41.241）有关。Adh-OAD≥70% 的患者中有 9.3%（10 人）依从性较差，Adh-OAD≥60% 的患者中有 3.7%（4 人）依从性较差。在这两种情况下，均发现 Adh-OAD 与 HbA1c 百分比之间以及 Adh-OAD 与 T2DM 控制率之间存在显著的统计学关系：结论：Adh-OAD对T2DM患者的血红蛋白A1c%及其病情控制有影响。

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引用次数: 0

Impact of multicomponent intervention on hospitalized clinical patient outcomes: A pre–post study in a university hospital 多成分干预对住院临床患者疗效的影响：在一家大学医院进行的一项前后研究。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2024-11-01 DOI: 10.1016/j.jhqr.2024.06.003

M.R.R. Falcetta , F. Pivatto Júnior , É.P. Cassol , A. Boni , T. Vaz , F.M. da Costa , D.F. do Canto , L.M.G. Paskulin , J.M. Dora

Background and objective

Hospitalization significantly interferes with the individual's well-being and it occurs both during and after the hospitalization period. Different approaches to minimize morbidity related to hospitalization and the post-discharge period have been proposed, especially to those aimed at reducing readmission rates. The aim of this study is to evaluate the effect of multicomponent intervention (MI) on operational indicators and continuity of care outcomes.

Materials and methods

A quasi-experimental study conducted in a Brazilian university hospital in order to compare the impact of the intervention with usual care. The MI was the implementation of multidisciplinary rounds, the inclusion of the role of the navigator nurse, and care transition actions with half of the Internal Medicine teams in a clinical unit of a general hospital. Adult patients hospitalized were included in 2 periods and divided in 3 groups – Group A: before the intervention; Group B: after and with MI; Group C after and without MI.

Results

A total of 2333 hospitalizations were evaluated. There was a reduction in the rate of intensive care transfers to intensive care unit (ICU) and in the length of stay (LOS). LOS, discharge before noon, and transfers to ICU improved when comparing before and after the intervention, but were not different in post-intervention groups with and without MI.

Conclusion

These results reflect the improvement of care provided by MI, an effect that could be due to cross contamination also to teams without the intervention.

背景和目的：住院治疗严重影响个人的身心健康，在住院期间和出院后都会发生。为了最大限度地降低住院期间和出院后的发病率，人们提出了不同的方法，尤其是那些旨在降低再入院率的方法。本研究旨在评估多成分干预（MI）对操作指标和持续护理结果的影响：在巴西一所大学医院开展的准实验研究，旨在比较干预措施与常规护理的影响。干预措施是在一家综合医院的临床科室实施多学科查房，纳入导航护士的角色，并与一半的内科团队开展护理过渡行动。住院的成人患者分为两个时期，并分为三组--A组：干预前；B组：干预后且实施了多学科综合查房；C组：干预后且未实施多学科综合查房：结果：共评估了 2333 例住院患者。转入重症监护室（ICU）和住院时间（LOS）均有所缩短。干预前后比较，住院时间、中午前出院率和转入重症监护室率均有所改善，但干预后有心肌梗死和没有心肌梗死的组别没有差异：这些结果反映出管理信息系统改善了护理工作，这种效果可能是由于交叉感染造成的，也可能是由于未进行干预的团队造成的。

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引用次数: 0

Evaluation of the degree of implementation of zero projects in critical care units of Galicia (Spain) through internal audits 通过内部审计评估加利西亚（西班牙）重症监护室零项目的实施程度。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2024-11-01 DOI: 10.1016/j.jhqr.2024.06.008

I. Losada-Castillo, M.O. Roca-Bergantiños, R. Vázquez-Mourelle, Group of Auditors for Zero Projects in Critical Units in Galicia

Objective

The objective of this study was to assess the implementation of Zero Projects in Critical Care Units (CCUs) through Internal Audits (IA).

Materials and methods

Design: Real-time observational safety analysis. A questionnaire was developed with defined items to ensure objectivity. After IAs, a survey was conducted with the auditors. Scope: 11 CCUs in hospitals of the Servizo Galego de Saúde and Ribera-POVISA. Patients or participants: 24 auditors in 9 teams composed of medical, nursing, and quality personnel from health areas and 34 patients were assessed. Main variables of interest: Compliance with the quality standard (≥60% of items), strengths, areas for improvement, auditor's interest in IA, conformity with the organization and items.

Results

100% CCUs met the quality standard. 18.03% of items were fulfilled by all CCUs. Strengths: staff motivation, positive reception of auditors, and use of computer tools in some CCUs. Areas for improvement: deficit of automatic systems for controlling endotracheal tube cuff pressure (compliance rate in 9.1% of CCUs), training needs, communication issues, and not using checklists (45.5% of the reports). Auditors found IA very interesting, and 19% suggested improving organization and items.

Conclusions

All CCUs met the previously agreed-upon quality standard. Numerous improvement opportunities were identified and communicated to the audited CCUs. For greater homogeneity and objectivity, a review of previously agreed items and definitions is required.

研究目的本研究旨在通过内部审计（IA）评估重症监护病房（CCU）零项目的实施情况：设计：实时观察安全分析。为确保客观性，制定了一份问卷，其中包含明确的项目。内部审计结束后，对审计人员进行调查：患者或参与者：由来自卫生领域的医疗、护理和质量人员组成的9个小组的24名审核员和34名患者接受了评估：主要关注变量：是否符合质量标准（≥60%的项目）、优势、有待改进的领域、审核员对内部审计的兴趣、与组织和项目的一致性：结果：100%的协调单位符合质量标准。结果：100%的协调单位达到了质量标准，18.03%的项目得到了所有协调单位的满足。优点：工作人员积极性高，审计员接待积极，一些协调单位使用了计算机工具。需要改进的方面：气管插管袖带压力自动控制系统不足（9.1%的CCU达标）、培训需求、沟通问题以及未使用核对表（45.5%的报告）。审核员认为内审非常有趣，19%的审核员建议改进组织和项目：所有CCU都达到了之前商定的质量标准。发现了许多改进机会，并向接受审核的CCU进行了通报。为提高一致性和客观性，需要对之前商定的项目和定义进行审查。

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引用次数: 0

Validación y fiabilidad de un instrumento para la evaluación de la calidad de servicios, adaptado a familiares, pacientes y personal de enfermería [病人、护士和家属护理服务质量评估工具的内部有效性和可靠性]。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Healthcare Quality Research

Pub Date : 2024-11-01 DOI: 10.1016/j.jhqr.2024.07.003

A. Renghea , S. Hernandez-Iglesias , M.A. Cuevas-Budhart , M.T. Iglesias López , J.A. Sarrion-Bravo , A. Crespo Cañizares , M. Gómez del Pulgar García-Madrid

Aim

To analyze the internal validity and reliability of the instrument for evaluating the quality of services adapted to three interest groups: patients, nurses, family members, and primary caregivers.

Material and method

Our research was conducted meticulously, employing a mixed methodology with two phases: qualitative, using the focus group for internal validation of the instrument, and quantitative. Subsequently, the survey was passed to the interest group of 430 patients, 525 relatives, and 298 nurses. Chronbac's alpha reliability analysis, the multiple linear regression model as a point estimator of the parameters, and exploratory factor analysis with a maximum likelihood factor using Kaiser-Meyer-Olkin to analyze the constructor and its indicators were performed to validate the adaptation. Finally, confirmatory factor analysis determines their respective measurement models’ unidimensionality, validity, and reliability.

Results

The result shows that the factor loading of each subconstruct is more significant than 0.5 in the three models, which indicates that the aptitude indices of the model were met. In addition, the model meets the discriminant validity criteria. The behavior of the SERVPERF questionnaire was analyzed in terms of consistency, Cronbach's alpha = 0.94.

Conclusion

The scale items’ discrimination concerning the questions on global satisfaction is confirmed. This shows that the instrument is valid, reliable, and useful.

目的：分析服务质量评估工具的内部有效性和可靠性，该工具适用于三个利益群体：患者、护士、家庭成员和主要护理人员：我们的研究采用了一种混合方法，分为两个阶段：定性阶段（利用焦点小组对工具进行内部验证）和定量阶段。随后，我们向由 430 名患者、525 名亲属和 298 名护士组成的兴趣小组发放了调查问卷。为验证适应性，进行了Chronbac's alpha信度分析、作为参数点估计的多元线性回归模型，以及使用Kaiser-Meyer-Olkin最大似然因子的探索性因子分析，以分析构造函数及其指标。最后，确认性因子分析确定了各自测量模型的单维性、有效性和可靠性：结果表明，在三个模型中，各子结构的因子载荷均大于 0.5，这表明模型的能力指标得到了满足。此外，模型还符合判别效度标准。对 SERVPERF 问卷的行为进行了一致性分析，Cronbach's alpha=0.94.结论：结论：量表项目对总体满意度问题的判别得到了证实。这表明该工具是有效、可靠和有用的。

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引用次数: 0