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The patient judgment system: reliability and validity.

E C Nelson1, R D Hays, C Larson

  • 1Hospital Corporation of America, Nashville, TN 37202-09551.

QRB. Quality Review Bulletin
|June 1, 1989
PubMed
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The Hospital Corporation of America developed a patient judgment system (PJS) to monitor hospital quality trends. The PJS questionnaire demonstrated high reliability and validity in a study of over 5,000 patients.

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Patient Experience Measurement

Background:

  • The Hospital Corporation of America (HCA) developed a patient judgment system (PJS) to track long-term hospital quality.
  • Effective monitoring requires reliable and valid patient feedback tools.

Purpose of the Study:

  • To assess the reliability, validity, and representativeness of the HCA PJS questionnaire.
  • To evaluate the PJS's suitability for monitoring hospital quality trends.

Main Methods:

  • A 68-item questionnaire with 11 quality scales was administered to 5,625 patients across 32 HCA hospitals.
  • Statistical analyses were performed to determine questionnaire reliability and validity at both patient and hospital levels.

Main Results:

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  • The PJS questionnaire exhibited uniformly high patient-level reliabilities.
  • Good to excellent hospital-level reliabilities were observed.
  • Strong empirical evidence supported the validity of the questionnaire's quality measures.

Conclusions:

  • The HCA patient judgment system questionnaire is a reliable and valid instrument for measuring hospital quality.
  • The PJS is suitable for generating data to monitor long-term hospital quality trends.