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Published on: February 5, 2019
Child, parent, and physician perceived satisfaction with pediatric outpatient visits
S J Simonian1, K J Tarnowski, A Park
1Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Insights
This study introduces the Metro Assessment of Child Satisfaction (MACS), a new tool to measure children's satisfaction with pediatric care. The MACS is reliable, easy to use for children aged 6+, and provides valid insights into their healthcare experiences.
Area of Science:
- Pediatric healthcare research
- Patient-reported outcomes measurement
- Child psychology
Background:
- Patient satisfaction correlates with improved health outcomes, including treatment adherence.
- Limited data exists on assessing children's satisfaction in pediatric settings.
- A validated instrument for measuring child satisfaction was needed.
Purpose of the Study:
- To develop and preliminarily validate the Metro Assessment of Child Satisfaction (MACS).
- To create a reliable tool for assessing pediatric patient satisfaction from the child's perspective.
- To explore the psychometric properties of the MACS.
Main Methods:
- Development of the Metro Assessment of Child Satisfaction (MACS).
- Preliminary validation study involving pediatric patients.
- Internal consistency analysis and factor analysis.
- Assessment of age appropriateness (down to 6 years).
Main Results:
- The MACS demonstrated good internal consistency.
- The instrument is easily administered and understood by children aged 6 and older.
- Factor analysis identified four statistically valid and clinically meaningful factors.
- MACS findings were compared with maternal and physician satisfaction ratings.
Conclusions:
- The MACS is a reliable and valid instrument for assessing pediatric patient satisfaction.
- The tool can be effectively used with children as young as 6 years old.
- Findings support the MACS's utility in understanding children's healthcare experiences.
Abstract:
Patient satisfaction has been linked empirically to a variety of health care outcomes (e.g., treatment adherence). Unfortunately, there is a paucity of data regarding the assessment of children's satisfaction with pediatric care. This lack of instrumentation was the impetus for the development and preliminary validation of the Metro Assessment of Child Satisfaction (MACS). Findings indicated the MACS is internally consistent and easily administered and understood by children as young as 6 years of age. Factor analysis yielded four distinct factors that appear to be statistically valid and clinically meaningful. Findings are discussed in relation to maternal ratings of satisfaction and physician perceptions of patient and parent satisfaction.
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