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      Reproducibilidad y validez del Picker Patient Experience (versión con 26 ítems) en participantes de investigaciones en Medellín, Colombia, en 2018 Translated title: Reprodutibilidade e validade da Picker Patient Experience (versão com 26 itens) em participantes da pesquisa em Medellín, Colômbia, em 2018 Translated title: Reproducibility and validity of the Picker Patient Experience (26-item version) in research participants in Medellin, Colombia, in 2018

      research-article
      , ,
      Revista Facultad Nacional de Salud Pública
      Universidad de Antioquia
      servicios de salud, calidad de la atención de salud, investigación en servicios de salud, atención al paciente, satisfacción del paciente, psicometría, Picker Patient Experience versión con 26 ítems, Colombia, serviços de saúde, qualidade dos cuidados de saúde, pesquisa em serviços de saúde, assistência ao paciente, satisfação do paciente, psicometría, Picker Patient Experience com versão com 26 itens, Colômbia, health services, quality of health care, health services research, patient care, patient satisfaction, psychometry, 26-item Picker Patient Experience, Colombia

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          Abstract

          Resumen Objetivo: Evaluar la reproducibilidad y validez del Picker Patient Experience versión con 26 ítems, en participantes de investigaciones de una institución de alta complejidad de Medellín, Colombia, en 2018. Metodología: Evaluación psicométrica en 241 sujetos, mediante fiabilidad con el alfa de Cronbach, consistencia interna con correlaciones de Spearman, validez de apariencia, contenido y predictiva con análisis factorial. Resultados: Más del 90% de los participantes calificó positivamente la claridad de la información, relación con personal asistencial y la atención. El alfa de Cronbach fue 0,70 (intervalo de confianza -IC- 95%=0,64-0,76); las correlaciones en la consistencia interna fueron mayores que 0,30 en la mitad de los ítems; en la validez de contenido, el porcentaje de éxito fue mayor al 90%; la validez predictiva fue moderada, con una proporción de la varianza explicada del 55%. En una escala de cero (peor resultado) a cien (mejor), el 50% de los valores centrales del Picker Patient Experience osciló entre 80,8 y 92,3, con rango entre 62 y 98, lo que demuestra la excelente percepción de calidad en el grupo de estudio, sin diferencias estadísticas según la edad, el número de hijos, la escolaridad, el estrato socioeconómico de la vivienda, el estado civil, ni la ocupación. Solo se halló asociación estadística con el sexo, siendo menor la mediana del puntaje en las mujeres (Me=85; rango intercuartil -RI-=81-92) en comparación con los hombres (Me=87; RI=83-94). Conclusión: Se dispone de una escala reproducible, válida y útil para la percepción de calidad en investigaciones con 26 ítems, correspondiente a una modificación de la versión en español del Picker Patient Experience versión con 33 ítems. Esto es de gran relevancia, al considerar que la calidad asistencial requiere la inclusión de la perspectiva del paciente con constructos psicométricamente robustos.

          Translated abstract

          Resumo Objetivo: Avaliar a reprodutibilidade e a validade do Picker Patient Experience versão com 26 itens, em participantes de pesquisas de uma instituição altamente complexa em Medellín, na Colômbia, em 2018. Metodologia: Avaliação psicométrica em 241 sujeitos, através da confiabilidade com o alfa de Cronbach, consistência interna com correlações de Spearman, validade de aparência, conteúdo e preditiva com análise fatorial. Resultados: Mais de 90% dos participantes qualificaram positivamente a clareza das informações, o relacionamento com a equipe de assistência e o atendimento. O alfa de Cronbach foi de 0,70 (intervalo de confiança —ic— 95 % = 0,64-0,76); as correlações na consistência interna foram superiores a 0,30 na metade dos itens; na validade do conteúdo, a percentagem de sucesso foi superior a 90 %; a validade preditiva foi moderada, com proporção da variância explicada de 55 %. Em uma escala de zero (pior resultado) a cem (o melhor), 50 % dos valores centrais da Paciente Picker Experience oscilou entre 80,8 e 92,3, com um intervalo entre 62 e 98, demonstrando a excelente percepção de qualidade no grupo de estudo, sem diferenças estatísticas segundo a idade, o número de filhos, a escolaridade, a condição socioeconômica da moradia, o estado civil nem a ocupação. Somente foi achada associação estatística com o sexo, sendo mais baixa a mediana dos pontos nas mulheres (Me = 85; intervalo interquartil —RI— = 81-92) em comparação aos homens (Me = 87; ri = 83-94). Conclusão: Existe uma escala reproduzível, válida e útil para a percepção de qualidade em pesquisas com 26 itens, correspondendo a uma modificação da versão em espanhol da versão Picker Patient Experience com 33 itens. Isso é de grande relevância, considerando que a qualidade da assistência requer a inclusão da perspectiva do paciente em constructos psicometricamente robustos.

          Translated abstract

          Abstract Objective: To evaluate the reproducibility and validity of the 26-item Picker Patient Experience, in research participants of a high complexity institution in Medellin, Colombia, in 2018. Methodology: Psychometric evaluation in 241 subjects, through reliability with Cronbach's alpha, internal consistency with Spearman correlations, appearance, content and predictive validity with factor analysis. Results: Over 90% of participants positively rated the clarity of the information, relationship with care staff and care. Cronbach's alpha was 0.70 (confidence interval - CI - 95% = 0.64-0.76); the correlations in internal consistency were greater than 0.30 in half of the items; in the content validity, the success rate was greater than 90%; predictive validity was moderate, with a proportion of variance explained of 55%. On a scale of zero (worst result) to one hundred (best), 50% of the central values of the Picker Patient Experience ranged between 80.8 and 92.3, with a range between 62 and 98, demonstrating the excellent perception of quality in the study group, with no statistical differences according to age, number of children, schooling, socioeconomic status of housing, marital status, or occupation. The only statistical association was found with sex, the median score being lower in women (Me = 85; interquartile range —IR— = 81-92) compared to men (Me = 87; IR = 83-94). Conclusion: There is a reproducible, valid and useful scale for the perception of quality in research with 26 items, corresponding to a modification of the Spanish version of the 33-item Picker Patient Experience. This is of great relevance, considering that the quality of care requires the inclusion of the patient's perspective with psychometrically robust constructs.

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          Most cited references19

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          Patients' experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care.

          To determine what aspects of healthcare provision are most likely to influence satisfaction with care and willingness to recommend hospital services to others and, secondly, to explore the extent to which satisfaction is a meaningful indicator of patient experience of healthcare services. Postal survey of a sample of patients who underwent a period of inpatient care. Patients were asked to evaluate their overall experience of this episode of care and to complete the Picker Inpatient Survey questionnaire on specific aspects of their care. Patients aged 18 and over presenting at five hospitals within one NHS trust in Scotland. 3592 questionnaires were mailed to patients' homes within 1 month of discharge from hospital during a 12 month period. Two reminders were sent to non-responders; 2249 (65%) questionnaires were returned. Almost 90% of respondents indicated that they were satisfied with their period of inpatient care. Age and overall self-assessed health were only weakly associated with satisfaction. A multiple linear regression indicated that the major determinants of patient satisfaction were physical comfort, emotional support, and respect for patient preferences. However, many patients who reported their satisfaction with the care they received also indicated problems with their inpatient care as measured on the Picker Inpatient Survey; 55% of respondents who rated their inpatient episode as "excellent" indicated problems on 10% of the issues measured on the Picker questionnaire. The evidence suggests that patient satisfaction scores present a limited and optimistic picture. Detailed questions about specific aspects of patients' experiences are likely to be more useful for monitoring the performance of various hospital departments and wards and could point to ways in which delivery of health care could be improved.
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            • Record: found
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            What attributes determine quality and satisfaction with health care delivery?

            Patient-based determinants of quality and satisfaction play an important role in choosing a health care provider. This study identifies five attributes of health care delivery that define patients' perceptions of quality and satisfaction. Managerial implications for diagnosing quality concerns of patients are discussed.
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              • Article: not found

              SERVQUAL: A tool for measuring patients' opinions of hospital service quality in Hong Kong

              Simon Lam (1997)
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                Author and article information

                Journal
                rfnsp
                Revista Facultad Nacional de Salud Pública
                Rev. Fac. Nac. Salud Pública
                Universidad de Antioquia (Medellín, Antioquia, Colombia )
                0120-386X
                2256-3334
                January 2020
                : 38
                : 1
                : e338423
                Affiliations
                [3] Medellín Antioquía orgnameUniversidad de Antioquia Colombia jaiberthcardona@ 123456gmail.com
                [1] Medellín Antioquía orgnameUniversidad CES Colombia erika.gallego@ 123456gna.org.co
                [2] Medellín Antioquía orgnameUniversidad CES Colombia julianacastillog@ 123456gmail.com
                Article
                S0120-386X2020000100106 S0120-386X(20)03800100106
                10.17533/udea.rfnsp.v38n1e338423
                77c3d3ab-5b92-4343-a901-123117b56512

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 05 December 2019
                : 23 May 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 28, Pages: 0
                Product

                SciELO Colombia

                Categories
                Investigación

                26-item Picker Patient Experience,Colombia,servicios de salud,psychometry,calidad de la atención de salud,patient satisfaction,investigación en servicios de salud,patient care,atención al paciente,health services research,satisfacción del paciente,quality of health care,psicometría,health services,Picker Patient Experience versión con 26 ítems,Colômbia,Picker Patient Experience com versão com 26 itens,serviços de saúde,qualidade dos cuidados de saúde,satisfação do paciente,pesquisa em serviços de saúde,assistência ao paciente

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