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. 1992 Jun;1(2):104–109. doi: 10.1136/qshc.1.2.104

Measuring patient satisfaction: a test of construct validity.

R Baker 1, M Whitfield 1
PMCID: PMC1054973  PMID: 10172105

Abstract

OBJECTIVE--To establish the validity of two patient satisfaction questionnaires (surgery satisfaction questionnaire (SSQ) and consultation satisfaction questionnaire (CSQ)) developed for use in general practice. DESIGN--Prospective study of performance of SSQ and CSQ in patients selected for their predicted levels of satisfaction. SETTING--Avon Family Health Services Authority (FHSA); general practices in Bristol (practice A) and in Cheltenham (practice B). PATIENTS--400 patients selected by Avon FHSA who had changed practices but not their home address and whose original practice had not changed its services (group 1); 869 randomly selected patients (221 from practice A, 648 from practice B) (group 2). MAIN MEASURES--Median difference in satisfaction scores for each questionnaire between groups 1 and 2 and between subgroups of group 2 patients according to assessed level in continuity of care (< 50%, > or = 50%) in the past 12 consultations. RESULTS--272 (68.0%) patients in group 1 completed the SSQ and CSQ. 711 (81.2%) patients in group 2 (178/221 (80.5%) in practice A, 533/648(82.3%) in practice B) completed the SSQ and 374(88/106(83.0%), 286/335(85.4%)) completed the CSQ. Both questionnaires classified patients in groups 1 and 2 according to the construct of satisfaction; thus the difference in median scores for every component of satisfaction in each questionnaire was significant and occurred in the direction predicted by the construct. Each questionnaire also discriminated between patients grouped according to their assessed level of continuity of care. CONCLUSION--SSQ and CSQ are valid measures of satisfaction for these types of patients. IMPLICATIONS--Valid measures of patient satisfaction can be developed; untested instruments should no longer be used.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baker R. Development of a questionnaire to assess patients' satisfaction with consultations in general practice. Br J Gen Pract. 1990 Dec;40(341):487–490. [PMC free article] [PubMed] [Google Scholar]
  2. Baker R. The reliability and criterion validity of a measure of patients' satisfaction with their general practice. Fam Pract. 1991 Jun;8(2):171–177. doi: 10.1093/fampra/8.2.171. [DOI] [PubMed] [Google Scholar]
  3. Ettlinger P. R., Freeman G. K. General practice compliance study: is it worth being a personal doctor? Br Med J (Clin Res Ed) 1981 Apr 11;282(6271):1192–1194. doi: 10.1136/bmj.282.6271.1192. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Freeman G. K., Richards S. C. How much personal care in four group practices? BMJ. 1990 Nov 3;301(6759):1028–1030. doi: 10.1136/bmj.301.6759.1028. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. GRAY P. G., CARTWRIGHT A. Choosing and changing doctors. Lancet. 1953 Dec 19;265(6799):1308–1309. doi: 10.1016/s0140-6736(53)91377-4. [DOI] [PubMed] [Google Scholar]
  6. Hall J. A., Dornan M. C. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990;30(7):811–818. doi: 10.1016/0277-9536(90)90205-7. [DOI] [PubMed] [Google Scholar]
  7. Hulka B. S., Kupper L. L., Daly M. B., Cassel J. C., Schoen F. Correlates of satisfaction and dissatisfaction with medical care: a community perspective. Med Care. 1975 Aug;13(8):648–658. doi: 10.1097/00005650-197508000-00004. [DOI] [PubMed] [Google Scholar]
  8. Linn L. S., Brook R. H., Clark V. A., Davies A. R., Fink A., Kosecoff J. Physician and patient satisfaction as factors related to the organization of internal medicine group practices. Med Care. 1985 Oct;23(10):1171–1178. doi: 10.1097/00005650-198510000-00006. [DOI] [PubMed] [Google Scholar]
  9. Marquis M. S., Davies A. R., Ware J. E., Jr Patient satisfaction and change in medical care provider: a longitudinal study. Med Care. 1983 Aug;21(8):821–829. doi: 10.1097/00005650-198308000-00006. [DOI] [PubMed] [Google Scholar]
  10. Pascoe G. C. 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. [DOI] [PubMed] [Google Scholar]
  11. Ware J. E., Jr, Davies-Avery A., Stewart A. L. The measurement and meaning of patient satisfaction. Health Med Care Serv Rev. 1978 Jan-Feb;1(1):1, 3-15. [PubMed] [Google Scholar]

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