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. 2003 Jun;12(3):188–193. doi: 10.1136/qhc.12.3.188

QUOTE-HIV: an instrument for assessing quality of HIV care from the patients' perspective

C Hekkink 1, H Sixma 1, L Wigersma 1, C Yzermans 1, J T M van der Meer 1, P Bindels 1, K Brinkman 1, S Danner 1
PMCID: PMC1743708  PMID: 12792008

Abstract

Background: An HIV-specific version of the QUOTE questionnaire was developed to measure the quality of care of patients infected with HIV from the patients' perspective. The consistency and validity of the questionnaire was assessed.

Methods: Focus group discussions were held to select aspects for inclusion in the questionnaire that are important to patients with HIV. Item and inter-item analysis, factor analysis, and reliability analysis were performed to test the internal consistency and validity of the questionnaire.

Results: Twenty seven items (13 generic and 14 HIV specific) were used in the QUOTE-HIV questionnaire. Separate factor analyses of the generic and HIV specific aspects indicated that each loaded onto a single factor. The internal consistency of the total questionnaire was good (Cronbach's alpha ≥0.80). Feasibility of the questionnaire was shown by the diversity of importance and performance scores for general practitioners as well as for HIV specialists and AIDS nursing consultants.

Conclusion: The QUOTE-HIV questionnaire is a useful instrument for measuring the quality of care from the perspective of HIV infected patients.

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Selected References

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  1. Bensing J. Doctor-patient communication and the quality of care. Soc Sci Med. 1991;32(11):1301–1310. doi: 10.1016/0277-9536(91)90047-g. [DOI] [PubMed] [Google Scholar]
  2. Bowling A., Stramer K., Dickinson E., Windsor J., Bond M. Evaluation of specialists' outreach clinics in general practice in England: process and acceptability to patients, specialists, and general practitioners. J Epidemiol Community Health. 1997 Feb;51(1):52–61. doi: 10.1136/jech.51.1.52. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Carroll L., Sullivan F. M., Colledge M. Good health care: patient and professional perspectives. Br J Gen Pract. 1998 Aug;48(433):1507–1508. [PMC free article] [PubMed] [Google Scholar]
  4. Cleary P. D., Edgman-Levitan S. Health care quality. Incorporating consumer perspectives. JAMA. 1997 Nov 19;278(19):1608–1612. [PubMed] [Google Scholar]
  5. Grogan S., Conner M., Norman P., Willits D., Porter I. Validation of a questionnaire measuring patient satisfaction with general practitioner services. Qual Health Care. 2000 Dec;9(4):210–215. doi: 10.1136/qhc.9.4.210. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hall J. A., Dornan M. C. What patients like about their medical care and how often they are asked: a meta-analysis of the satisfaction literature. Soc Sci Med. 1988;27(9):935–939. doi: 10.1016/0277-9536(88)90284-5. [DOI] [PubMed] [Google Scholar]
  7. Kitahata M. M., Koepsell T. D., Deyo R. A., Maxwell C. L., Dodge W. T., Wagner E. H. Physicians' experience with the acquired immunodeficiency syndrome as a factor in patients' survival. N Engl J Med. 1996 Mar 14;334(11):701–706. doi: 10.1056/NEJM199603143341106. [DOI] [PubMed] [Google Scholar]
  8. Laerum Even, Steine Siri, Finckenhagen Morten, Finset Arnstein. The final version of the Patient Perspective Survey (PPS): a new tool to improve consultation outcome and patient participation in general practice patients with complex health problems. Doctors' and patients' evaluation and guidelines for clinical use. Fam Pract. 2002 Jun;19(3):264–271. doi: 10.1093/fampra/19.3.264. [DOI] [PubMed] [Google Scholar]
  9. Markson L. E., Turner B. J., Cocroft J., Houchens R., Fanning T. R. Clinic services for persons with AIDS. Experience in a high-prevalence state. J Gen Intern Med. 1997 Mar;12(3):141–149. doi: 10.1007/s11606-006-5021-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. McDonald R., Free D., Ross F., Mitchell P. Client preferences for HIV inpatient care delivery. AIDS Care. 1998 Jun;10 (Suppl 2):S123–S135. doi: 10.1080/09540129850124235. [DOI] [PubMed] [Google Scholar]
  11. Meredith K., Delaney J., Horgan M., Fisher E., Jr, Fraser V. A survey of women with HIV about their expectations for care. AIDS Care. 1997 Oct;9(5):513–522. doi: 10.1080/713613195. [DOI] [PubMed] [Google Scholar]
  12. Sixma Herman J., Kerssens Jan J., Campen Crétien Van, Peters Loe. Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument. Health Expect. 1998 Nov;1(2):82–95. doi: 10.1046/j.1369-6513.1998.00004.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Stein M. D., Fleishman J., Mor V., Dresser M. Factors associated with patient satisfaction among symptomatic HIV-infected persons. Med Care. 1993 Feb;31(2):182–188. doi: 10.1097/00005650-199302000-00008. [DOI] [PubMed] [Google Scholar]
  14. Stone V. E., Weissman J. S., Cleary P. D. Satisfaction with ambulatory care of persons with AIDS: predictors of patient ratings of quality. J Gen Intern Med. 1995 May;10(5):239–245. doi: 10.1007/BF02599878. [DOI] [PubMed] [Google Scholar]
  15. Wensing M., Grol R., Smits A. Quality judgements by patients on general practice care: a literature analysis. Soc Sci Med. 1994 Jan;38(1):45–53. doi: 10.1016/0277-9536(94)90298-4. [DOI] [PubMed] [Google Scholar]
  16. Wilde B., Larsson G., Larsson M., Starrin B. Quality of care. Development of a patient-centred questionnaire based on a grounded theory model. Scand J Caring Sci. 1994;8(1):39–48. doi: 10.1111/j.1471-6712.1994.tb00223.x. [DOI] [PubMed] [Google Scholar]
  17. Zastowny T. R., Stratmann W. C., Adams E. H., Fox M. L. Patient satisfaction and experience with health services and quality of care. Qual Manag Health Care. 1995 Spring;3(3):50–61. doi: 10.1097/00019514-199503030-00006. [DOI] [PubMed] [Google Scholar]
  18. van Campen C., Sixma H. J., Kerssens J. J., Peters L., Rasker J. J. Assessing patients' priorities and perceptions of the quality of health care: the development of the QUOTE-Rheumatic-Patients instrument. Br J Rheumatol. 1998 Apr;37(4):362–368. doi: 10.1093/rheumatology/37.4.362. [DOI] [PubMed] [Google Scholar]
  19. van den Hoek J. A., Mulder-Folkerts D. K., Dukers N. H., Fennema J. S., Coutinho R. A. Surveillance van aids en HIV-infectie in Amsterdam, 1997. Ned Tijdschr Geneeskd. 1998 Dec 26;142(52):2861–2865. [PubMed] [Google Scholar]
  20. van der Waal M. A., Casparie A. F., Lako C. J. Quality of care: a comparison of preferences between medical specialists and patients with chronic diseases. Soc Sci Med. 1996 Mar;42(5):643–649. doi: 10.1016/0277-9536(95)00200-6. [DOI] [PubMed] [Google Scholar]

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