Validation of a French hospitalized patients' satisfaction questionnaire: the QSH-45. - CNRS - Centre national de la recherche scientifique Accéder directement au contenu
Article Dans Une Revue International Journal for Quality in Health Care Année : 2009

Validation of a French hospitalized patients' satisfaction questionnaire: the QSH-45.

Stéphanie Antoniotti
  • Fonction : Auteur
Karine Baumstarck-Barrau
  • Fonction : Auteur
Marie-Claude Siméoni
  • Fonction : Auteur
Christophe Sapin
  • Fonction : Auteur
José Labarère
  • Fonction : Auteur
  • PersonId : 945776
Laurent Gerbaud
  • Fonction : Auteur
Laurent Boyer
Cyril Colin
  • Fonction : Auteur
Patrice François
  • Fonction : Auteur
  • PersonId : 949962
Pascal Auquier
  • Fonction : Auteur
  • PersonId : 860193

Résumé

OBJECTIVE: To develop a generic French self-administered instrument for measuring hospitalized patients' satisfaction based on the patient's point of view: the questionnaire for satisfaction of hospitalized (QSH) patients. DESIGN: The development was supervised by a steering committee and undertaken through three standard steps. Item generation was derived from 95 face-to-face interviews, performed in hospitalized patients and in patients scheduled to be admitted. The item reduction led to a 69-item questionnaire. The validation process was based on validity, reliability and some aspects of external validity. SETTING: Medical, surgical and obstetrical departments (n = 187) of public hospitals (n = 11) from different French regions (n = 3). PARTICIPANTS: Eligible patients were adult subjects hospitalized for at least 24 h. MAIN OUTCOME MEASURES: QSH, sociodemographic data, hospitalization department, visual analogue scales of satisfaction. RESULTS: The final version of QSH contained 45 items describing 9 dimensions, leading to 2 composite scores (staff and structure index). The factor structure accounted for 71% of the total variance. Internal consistency was satisfactory (item-internal consistency over 0.40; Cronbach's alpha coefficients ranged from 0.76 to 0.96). The scalability was satisfactory with inlier-sensitive fit (INFIT) statistics inside an acceptable range. Scores of dimensions were strongly positively correlated with visual analogue scale scores (all P < 0.001). External validity showed statistical associations between QSH scores and age or department. Participation rate was 91%. CONCLUSIONS: The availability of a reliable and valid French questionnaire concerning hospitalized patients' satisfaction, exclusively generated from patients' interviews, enables patient feedback to be incorporated in a continuous quality health-care improvement strategy.

Dates et versions

hal-00453678 , version 1 (05-02-2010)

Identifiants

Citer

Stéphanie Antoniotti, Karine Baumstarck-Barrau, Marie-Claude Siméoni, Christophe Sapin, José Labarère, et al.. Validation of a French hospitalized patients' satisfaction questionnaire: the QSH-45.. International Journal for Quality in Health Care, 2009, 21 (4), pp.243-52. ⟨10.1093/intqhc/mzp021⟩. ⟨hal-00453678⟩
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