期刊论文详细信息
Health and Quality of Life Outcomes
Psychometric properties of the Press Ganey® Outpatient Medical Practice Survey
Research
Chong Zhang1  Angela P. Presson2  Andrew R. Tyser3  Amir M. Abtahi3  Man Hung3  Jacob Kean4 
[1] Department of Internal Medicine, Division of Epidemiology, University of Utah, Williams Building, 295 Chipeta Way, 84108, Salt Lake City, UT, USA;Department of Internal Medicine, Division of Epidemiology, University of Utah, Williams Building, 295 Chipeta Way, 84108, Salt Lake City, UT, USA;Department of Pediatrics, University of Utah, 84108, Salt Lake City, UT, USA;Department of Biostatistics, University of California, 90095, Los Angeles, CA, USA;Department of Orthopaedics, University of Utah, 84108, Salt Lake City, UT, USA;Department of Population Health Sciences, University of Utah, 84108, Salt Lake City, UT, USA;
关键词: Consumer assessments;    Patient satisfaction;    Psychometrics;    Press Ganey® medical practice survey;    Confirmatory factor analysis;   
DOI  :  10.1186/s12955-017-0610-3
 received in 2016-09-10, accepted in 2017-02-02,  发布年份 2017
来源: Springer
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【 摘 要 】

BackgroundThe Press Ganey® Medical Practice Survey (“Press Ganey® survey”) is a patient-reported questionnaire commonly used to measure patient satisfaction with outpatient health care in the United States. Our objective was to evaluate the reliability and validity of the Press Ganey® survey in a single institution setting.MethodsWe analyzed surveys from 34,503 unique respondents seen by 624 providers from 47 specialties and 94 clinics at the University of Utah in 2013. The University of Utah is a health care system that provides primary through tertiary care for over 200 medical specialties. Surveys were administered online. The Press Ganey® survey consisted of 24 items organized into 6 scales: Access (4 items), Moving Through the Visit (2), Nurse Assistant (2), Care Provider (10), Personal Issues (4) and Overall Assessment (2). Missingness, ceiling and floor rates were summarized. Cronbach’s alpha was used to evaluate internal consistency reliability. Confirmatory factor analysis was used to assess convergent and discriminant validities.ResultsMissingness ranged from 0.8-11.4% across items. The ceiling rate was high at 29.3% for the total score, and ranged from 55.4 to 84.1% across items. Floor rates were 0.01% for the total score, and ranged from 0.1 to 2.1% across items. Internal consistency reliability ranged from 0.79 to 0.96, and item-scale correlations ranged from 0.49 to 0.9. Confirmatory factor analysis supported convergent and discriminant validities.ConclusionThe Press Ganey® survey demonstrated suitable psychometric properties for most metrics. However, the high ceiling rate can have a notable impact on quarterly percentile scores within our institution. Multi-institutional studies of the Press Ganey® survey are needed to inform administrative decision making and institution reimbursement decisions based on this survey.

【 授权许可】

CC BY   
© The Author(s). 2017

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