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Measuring Satisfaction in Breast Cancer Patients Receiving Ambulatory Care: A Validation StudyFunding None.
Introduction Patient satisfaction constitutes a vital service quality indicator. It provides a measure of the gap in health-care requirements and patients' expectations.
Objective The aim of this study was to perform linguistic validation of the questionnaire assessing satisfaction with outpatient care.
Materials and Methods A tool for measuring patient satisfaction was developed and validated at our institute in the English language. This tool was translated into Hindi and Marathi. Subsequently, 339 patients diagnosed with breast cancer consulting in the outpatient department from the different parts of India and having diverse linguistic and socioeconomic backgrounds were enrolled. Patients were asked to complete the satisfaction tool after consultation at a single point of time in a prospective manner.
Results All patients completed the questionnaire. The questionnaire was filled by 120, 116, and 103 patients in Hindi, Marathi, and English, respectively. Both convergent validity and discriminant validity were supported as the correlation coefficient was >0.4 for all items within a scale and <0.7 between different scales. Factor analysis was valid for all except for open-end questions. The internal consistency was >0.9 for all the questions. The mean overall satisfaction score was 88.35 (standard deviation: 19.63). Patients were satisfied in all the aspects of the consultation process, including appointment scheduling, assistant medical staff and faculty, and treating physician. However, some expressed dissatisfaction toward long-waiting times.
Conclusion The translated tool is reliable and valid and effectively measures the satisfaction of patients receiving ambulatory care.
This study was approved by the Tata Memorial Centre Ethics Committee on March 22, 2017 and project number 1835 was assigned. Patients were given consent forms in their preferred language and written consent was obtained. The procedures followed were in accordance with the ethical standards of the institutional committee on human experimentation and with the Helsinki Declaration of 1964, as revised in 2013.
Received: 23 May 2020
Accepted: 06 August 2020
Article published online:
29 November 2021
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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- 1 Pascoe GC. Patient satisfaction in primary health care: a literature review and analysis. Eval Program Plann 1983; 6 (3-4): 185-210
- 2 Xesfingi S, Vozikis A. Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors. BMC Health Serv Res 2016; 16: 94
- 3 Sitzia J, Wood N. Patient satisfaction: a review of issues and concepts. Soc Sci Med 1997; 45 (12) 1829-1843
- 4 Junewicz A, Youngner SJ. Patient-satisfaction surveys on a scale of 0 to 10: improving health care, or leading it astray?. Hastings Cent Rep 2015; 45 (03) 43-51
- 5 Mahapatra S, Nayak S, Pati S. Quality of care in cancer: an exploration of patient perspectives. J Family Med Prim Care 2016; 5 (02) 338-342
- 6 Ware Jr JE, Davies-Avery A, Stewart AL. The measurement and meaning of patient satisfaction. Health Med Care Serv Rev 1978; 1 (01) 1 , 3–15
- 7 Brédart A, Razavi D, Delvaux N, Goodman V, Farvacques C, Van Heer C. A comprehensive assessment of satisfaction with care for cancer patients. Support Care Cancer 1998; 6 (06) 518-523
- 8 Hardy GE, West MA, Hill F. Components and predictors of patient satisfaction. Br J Health Psychol 1996; 1: 65-85
- 9 Nguyen TV, Bosset JF, Monnier A. et al. Determinants of patient satisfaction in ambulatory oncology: a cross sectional study based on the OUT-PATSAT35 questionnaire. BMC Cancer 2011; 11: 526
- 10 Lis CG, Rodeghier M, Gupta D. Distribution and determinants of patient satisfaction in oncology: a review of the literature. Patient Prefer Adherence 2009; 3: 287-304
- 11 Naidu A. Factors affecting patient satisfaction and healthcare quality. Int J Health Care Qual Assur 2009; 22 (04) 366-381
- 12 Bergenmar M, Nylén U, Lidbrink E, Bergh J, Brandberg Y. Improvements in patient satisfaction at an outpatient clinic for patients with breast cancer. Acta Oncol 2006; 45 (05) 550-558
. n.d. Accessed July 6, 2021 from: https://en.wikipedia.org/wiki/Patient_satisfaction
- 14 Heath S. Patient Satisfaction and HCAHPS: What It Means for Providers n.d. Accessed July 6, 2021 from: https://patientengagementhit.com/features/patient-satisfaction-and-hcahps-what-it-means-for-providers
- 15 Pascoe GC. Patient satisfaction in primary health care: a literature review and analysis. Eval Program Plann 1983; 6 (3–4): 185-210 DOI: 10.1016/0149-7189(83)90002-2.
- 16 Cleary PD. The increasing importance of patient surveys. Now that sound methods exist, patient surveys can facilitate improvement. BMJ 1999; 319 (7212): 720-721
- 17 EORTC INPAT SAT 35 n.d. Accessed July 6, 2021 from: https://www.eortc.org/app/uploads/sites/2/2018/08/Specimen-IN-PATSAT32-English.pdf
- 18 EORTC PAT SAT 33 n.d. https://qol.eortc.org/questionnaire/qlq-patsat-c33/ . Accessed July 6, 2021
- 19 Kleeberg UR, Feyer P, Günther W, Behrens M. Patient satisfaction in outpatient cancer care: a prospective survey using The PASQOC questionnaire. Support Care Cancer 2008; 16 (08) 947-954
- 20 Ware JE, Snyder MK, Wright W. Long form Patient Satisfaction Questionnaire (PSQ-III). 1976 . Accessed July 6, 2021 from: https://www.rand.org/content/dam/rand/www/external/health/surveys_tools/psq/psq3_survey.pdf
- 21 Loblaw DA, Bezjak A, Bunston T. Development and testing of a visit-specific patient satisfaction questionnaire: the Princess Margaret Hospital Satisfaction With Doctor Questionnaire. J Clin Oncol 1999; 17 (06) 1931-1938
- 22 Sahu U. Major Differences between Healthcare in the US and India. 2016 . Accessed July 6, 2021 from: https://www.huffingtonpost.in/utkarsh-sahu/a-tale-of-two-nations-ind_b_9261892.html
- 23 Niranjan.. Major Differences in Healthcare between the USA and India; June. 2018 . Accessed July 6, 2021 from: https://ehealthclinics.in/major-differences-in-healthcare-between-the-usa-and-india/
- 24 Shirley Lewis, Tabassum Wadasadawala, Pallavi Rane, Sudeep Gupta, Santam Chakraborty. et al. (2017) Validation of Patient Satisfaction Survey (PSS) for Outpatient Care Carried out in Multi-Disciplinary Breast Clinic. BAOJ Cancer Res Ther 03: 035
- 25 Campbell DT, Fiske DW. Convergent and discriminant validation by the multitrait-multimethod matrix. Psychol Bull 1959; 56 (02) 81-105
- 26 Kaiser HF. An index of factorial simplicity. Psychometrika 1974; 39: 31-36
- 27 Bartlett MS. Properties of sufficiency and statistical test. J Chem Inf Model 2013; 53: 1689-1699
- 28 Brédart A, Mignot V, Rousseau A. et al. Validation of the EORTC QLQ-SAT32 cancer inpatient satisfaction questionnaire by self- versus interview-assessment comparison. Patient Educ Couns 2004; 54 (02) 207-212
- 29 Lis CG, Rodeghier M, Gupta D. Distribution and determinants of patient satisfaction in oncology: A review of the literature. Patient Prefer Adherence 2009; Nov 3; 03: 287-304 DOI: 10.2147/ppa.s6351.