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Validating a patient satisfaction survey translated into Spanish.

Penny J Miceli1

  • 1Press Ganey Associates, USA. pmiceli@pressganey.com

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|September 9, 2004
PubMed
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This study validated a patient satisfaction survey in Spanish, finding it reliable and showing Spanish speakers reported higher satisfaction than English speakers, except for staff courtesy. Keywords: patient satisfaction, inpatient care, survey validation, Spanish language.

Area of Science:

  • Health Services Research
  • Patient Experience Measurement
  • Cross-cultural Adaptation of Instruments

Background:

  • Patient satisfaction is a key indicator of healthcare quality.
  • Measuring patient satisfaction across diverse linguistic groups is crucial for equitable care.
  • Existing satisfaction measures may not be culturally or linguistically appropriate for all populations.

Purpose of the Study:

  • To validate a patient satisfaction survey in Spanish for inpatient care.
  • To assess the reliability and factor structure of the Spanish version.
  • To compare satisfaction levels between English-speaking and Spanish-speaking patient groups.

Main Methods:

  • Cross-cultural adaptation and validation of an existing English-language patient satisfaction survey into Spanish.

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  • Reliability testing (subscale and overall) of the Spanish version.
  • Comparative analysis of satisfaction scores between English and Spanish respondents.
  • Main Results:

    • The Spanish translation demonstrated equivalent factor structure to the English original.
    • The survey was reliable at both subscale and overall levels for Spanish-language respondents.
    • Spanish-language respondents reported higher satisfaction in most areas, except for staff courtesy.
    • The Spanish survey explained 81% of the variance in likelihood to recommend.

    Conclusions:

    • The validated Spanish survey is a reliable tool for assessing inpatient care satisfaction among Spanish speakers.
    • Linguistic validation ensures accurate measurement of patient experience across diverse populations.
    • Identified differences in satisfaction highlight areas for targeted quality improvement initiatives.