Development Of Hospital Performance Evaluation Questionnaire Research Based On The Experience Of Patients

BackgroundWith the continuous deepening of the reform of medical and health undertakings in our country,the service properties of the healthcare industry has become increasingly obvious,the health care industry gradually accepting patients is the transformation of the concept of consumers.In recent years,the performance evaluation of research also change in medical institutions,on the basis of many years of patient satisfaction research,turned towards the patient centered service concept,improve the quality of service capability,service of the health care industry,"taking patients as the center","people-oriented" keyword has become the key topic of concern by the department of public health.ObjectivePatients with the introduction of "experience" evaluation index,the medical service from to conduct a comprehensive evaluation process to the result,obtains from the patient's own medical experience,development can all reflect the medical service quality and was hospitalized process experience and the feeling of "based on the experience of patients with hospital performance evaluation scale".And analyze the scale of entry,screening and evaluation,the reliability and validity of make it of in the future to promote the use of good efficiency.MethodsIn the literature review,group discussion and brainstorming,on the basis of design for patients,medical staff and the general population of the interview outline,through interviewing the crowds file sorting,analysis,preliminary screening to get seven dimensions,140 alternative indicators library.By the analysis of the research literature review,discussion,proposed five dimensions 17 secondary indicator indexs on the basis ofmaking the first round of experts after two rounds of expert consultation and 1 round symposium,initially formed "based on the experience of patients with hospital performance evaluation scale".For the scale tool random points sent a public hospital patients in Jiangsu province,for language and validated the answer option Settings changes,eventually forming a formal investigation scale,scale is tool to survey in Fujian,Jiangsu,Anhui and four provinces of 10 cities in Shaanxi province public hospitals and 16 public hospitals at the county level of the 7856 patients,further filtered to inventory items,sexual validity evaluation questionnaire.We use Epidata 3.2 to establish database and SPSS 20.0 and SAS 9.3 to statistical analysis.Results1?Index library construction:in patients with reference both at home and abroad based on the experience of hospital performance evaluation theory,method and effect of scale on the basis of the combination of 5 cities in Jiangsu province 15 public hospitals(public hospitals,five of which city 10 public hospitals at the county a total of 180 patients(outpatient service,emergency treatment and hospitalization of patients),60 staff and 20 interview situation of the general population,sums up the performance indicators of out patients based on the experience library,on the basis of preliminary determine the five dimensions of 17 the index system of the secondary indicators.2?Delphi method:basic situation of expert team as a whole is given priority to with highly educated;From the point of professional titles,more than 90%of experts has a subtropical high above title.Two rounds of expert positive coefficient is 96.43%and 96.43%respectively;Two rounds of coordination coefficient results show that the experts on the importance and feasibility of inspection results had statistical significance(P<0.001),but overall are two coefficients are not too high,therefore convened expert panel;Two rounds of expert consultation and after an expert panel modify,establish performance evaluation system based on patients experience(5 first-level indicators,16 secondary index)and based on the experience of patients with hospital performance evaluation scale.3?Item selection:by coefficient of variation(CV),determination,value(critical ratio,CR),correlation coefficient,the correlation coefficient,r),crowns Bach coefficient(Cronbach's alpha),common variance(communality),factor loading(factor loading)indicators such as filtering,delete "23,24,35,50,52," several entries,finally established by the doctor-patient relationship,service management,quality,efficiency,medical expenses,the overall evaluation of five dimensions based on the experience of patients with hospital performance evaluation scale(inpatients and outpatients.4?Scale evaluation:the hospitalized patients in the study of scale overall Cronbach's alpha coefficient is 0.900,'points of half a minute and a half before and after using the reliability(around)coefficient is 0.840,using the half-split reliability(odd)coefficient is 0.944,each dimension Cronbach's alpha and 1/2 reliability coefficient' quality efficiency in addition to the third dimension(1/2 coefficient(front and back)=0.456)were greater than 0.70;Outpatients scale overall Cronbach's alpha coefficient is 0.886,'and a half before and after using the reliability)before and after(1/2 coefficient is 0.819,using reliability(odd)coefficient of 0.929.All dimensions Cronbach's alpha 'and 1/2 reliability coefficient were greater than 0.60;Exploratory factor analysis revealed by the principal component analysis,index of hospitalized patients according to the original idea of class number to set the number of common factor,total extract five common factor,the cumulative variance contribution rate is 46.341%,and the characteristic value>1 principle is used to extract the common factor,total extract 9 common factor,the cumulative variance contribution rate is 58.436%;Outpatient number of primary index according to the original idea to set the number of common factor,were extracted four factors,the cumulative variance contribution rate is 42.488%,and characteristic value>1 principle is used to extract the common factor,total extract eight common factor,the cumulative variance contribution rate of 55.662%.Scale hospitalized patients with confirmatory factor analysis results suggest that the best model for x2/df=2.89,GFI=0.0.88,AGFI=0.91,CFI=0.90,TLI=0.92,RMASE=0.06;Outpatients scale best model x2/df=2.51,GFI=0.89,AGFI=0.88,CFI=0.95,TLI=0.92,RMASE=0.04.ConclusionsThe scale of development from the scientific applicable principles for the design of the scale,through interviews,expert consultation,expert discussion and entry screening and evaluation of reliability and validity of multiple links,such as comprehensive assessment scale efficiency.This scale based on the experience of hospital patients with performance evaluation through expert consultation method has good content validity;the factor analysis and model fitting results show that the scale has good structure validity.Patients experience scale covers the outpatient and hospitalized patients with specific medical experience and experience,and applied in hospital performance evaluation,in order to further explore the patient experience and patients' satisfaction,the relationship between the medical disputes,conduce to improving the quality of hospital management,patients with better service.