Validating a model of patient satisfaction with emergency care
Confirmatory factor analysis confirms the three hypothesized child dimensions as well as the five parent dimensions.
The factorial structure is confirmed in subgroups of younger and older children. Only the patients themselves can authentically report their perceptions of health care processes and outcomes.
The preliminary version of the Child ZAP contained six scales (24 items) for parent assessment of parent-physician interaction (self-report), three scales (14 items) for parent assessment of child-physician interaction (proxy report), and three global items (overall satisfaction with the physician, trust in the physician, and quality of care).
The preliminary version was then subjected to psychometric testing and modified accordingly into a second and final version of the Child ZAP, which then was tested in the main study with a random sample from selected pediatric and adolescent primary care practices.
The parent satisfaction questionnaire considers two perspectives: the parents’ assessment of the child-physician interaction (proxy report) and the parents’ assessment of their own interaction with the physician (self-report).
However, we are not aware of a validated questionnaire to assess pediatric and adolescent primary care available in Germany.
The results of the psychometric analysis, based on data gathered in the main study, are presented below.
A preliminary qualitative study was conducted to assess the comprehensibility and relevance of questions of the adult version of the ZAP.
Two scales, the proxy report scales "Child - Information" and "Child - Involvement" were coded with an additional response "Does not apply".
The rationale behind this decision was the assumption that it would not always be possible or appropriate to provide information to very young children or involve them in decision making.
Patient input is a valuable source of information needed for a patient-oriented organization of health care.
Since the patients’ major concern is to receive treatment and care that satisfies their needs .
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Patient surveys constitute a valuable source of information in patient-focused health care.