目的探索建立公立医疗机构公益性的患者调查问卷,并对其信度、效度进行评价。方法对医疗机构的就诊患者进行现场调查,通过计算问卷的Cronbach's α系数进行信度评价,采用因子分析法、相关分析法进行效度评价,并通过人口统计学因素研究、不同医院的比较对问卷的效度进行验证。结果调查问卷的总Cronbach's α系数为0.853,3个条目的Cronbach’s α系数分别是服务质量0.845、服务适宜性0.845、职业道德0.752;因子分析结果提取出3个公因子,基本与预设条目服务质量、服务适宜性和职业道德相吻合。问卷测试结果不易受一般人121统计因素的影响。结论调查问卷具有较好信度,对患者公益性评价各条目的划分较为合理、结构效度较好,在公益性评价方面有其推广应用的价值。
Objective An attempt to develop a patient survey questionnaire on the public benefit nature of medical institutions as seen by patients, along with an evaluation of its reliability and validity. Methods A field survey was conducted among the patients visiting these institutions. The Cronbach's coefficient was calculated to test the reliability. Factor analysis and spearman correlation analysis were applied to test the validity. The validity was also tested by analyzing the demographic factors and comparing the results between different kinds of medical institutions. Results The Cronbaeh's a coefficient of the questionnaire was 0. 853, meanwhile the Cronbach's a coefficient of the three items was 0. 845(quality of care), 0. 845 (suitability of services)and 0. 752 (professional ethics). Three common factors were extracted, which coincided with the three items-quality of care, suitability of services and professional ethics. And the results are hardly affected by common demographic characteristics. Conclusion The reliability of the questionnaire was acceptable, and the items were reasonably divided in the questionnaire with good structural validity. The questionnaire can be widely applied to evaluate the public benefit nature of medical institutions.