患者满意度测量:比较利克特和项目特定响应选择尺度
Vassilis Aletras1,2, Stavros Chatzopoulos3, Maria Kalouda2
1Department of Business Administration, School of Business Administration, University of Macedonia, 54636 Thessaloniki, Greece.
Healthcare (Basel, Switzerland)
|December 11, 2025
概括
患者满意度得分受到问卷答复格式的影响,例如利克尔特级别和项目特定答复选项 (ISRO),但对决策的影响很小. 对于测量医院质量指标来说,没有一个格式是始终优越的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
- 医院质量测量 医院质量测量
背景情况:
- 患者满意度是医院绩效的一个关键指标.
- 不同测量方法对患者满意度数据的影响尚不清楚.
- 这项研究比较了患者满意度调查问卷中的利克特尺度和项目特定响应选项 (ISRO).
研究的目的:
- 在患者满意度调查问卷中,方法上比较利克特尺度和ISRO响应格式.
- 探索项目和规模级分数的差异,天花板效应和默许偏见.
- 评估两个响应格式的心理测量特性,包括可靠性和有效性.
主要方法:
- 一个由400名住院患者组成的样本被随机分配给完成利克特尺度或ISRO问卷.
- 调查问卷评估了对医生,护士和护理组织/计划的满意度.
- 统计分析包括描述性统计,t测试,回归,克伦巴赫α和确认因素分析.
主要成果:
- 在格式之间观察到响应分布和中位数值的差异.
- 伊斯罗总体上为护理提供了更高的评分,而利克特等级则显示了组织方面的更高评分.
- 两种格式都有相似的上限效应,没有一致的默许偏差;利克尔特尺度显示出略高的可靠性,ISRO更好的模型匹配.
结论:
- 项目响应格式影响患者满意度得分,但实际影响有限.
- 选择的格式应与研究目标,受访者负担和政策需求保持一致.
- 对医疗保健满意度测量的默许偏见的担忧可能被夸大了.
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