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A Delphi Method Analysis to Create an Emergency Medicine Educational Patient Satisfaction Survey
Kory S London1, Bonita Singal2, Jennifer Fowler3
1Thomas Jefferson University, Philadelphia, Pennsylvania.
The Western Journal of Emergency Medicine
|January 14, 2016
Summary
A new patient satisfaction (PS) survey was developed for emergency medicine residency training using the Delphi Method. This 10-question survey provides valuable feedback for improving physician communication skills.
Area of Science:
- Medical Education
- Emergency Medicine
- Health Services Research
Background:
- Patient satisfaction (PS) feedback is crucial for monitoring and improving physician communication skills in residency training.
- Existing PS surveys lack focus on the emergency department (ED) setting for educational purposes.
- Physician performance, compensation, and job satisfaction can be influenced by PS scores in practice.
Purpose of the Study:
- To develop an educational patient satisfaction (PS) survey specifically for the emergency medicine (ED) setting.
- To ensure the survey possesses strong evidence for content validity.
- To create a tool that can be used for resident feedback and performance assessment.
Main Methods:
- The Delphi Method (DM) was employed, utilizing an iterative process of expert surveying to achieve consensus.
- Questions were sourced from existing PS surveys and expert suggestions.
- Lynn's criteria for content validity and four-point Likert-type scales were used to select relevant questions.
Main Results:
- Twelve experts participated in seven survey rounds, reaching consensus on the survey's structure and content.
- A 10-question survey, with additional qualitative and demographic sections, was finalized from an initial list of 48 questions.
- The final survey demonstrated high relevance, with 31 questions initially selected and 10 ultimately chosen, achieving a 99.5% response rate for individual items.
Conclusions:
- The Delphi Method successfully produced a consensus-based patient satisfaction survey with evidence for content validity.
- Further research is required to establish evidence for response process, internal structure, and construct validity.
- This validated survey serves as a foundation for assessing and enhancing patient communication in emergency medicine residency programs.
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