Patients' Experiences with Quality of Hospital Care: the Consumer Quality Index Cataract Questionnaire

Overview

Journal BMC Ophthalmol

Publisher Biomed Central

Specialty Ophthalmology

Date 2007 Sep 20

PMID 17877840

Citations 22

Authors

J H Stubbe

W Brouwer

D M J Delnoij

Affiliations

Soon will be listed here.

Abstract

Background: Patients' feedback is of great importance in health care policy decisions. The Consumer Quality Index Cataract Questionnaire (CQI Cataract) was used to measure patients' experiences with quality of care after a cataract operation. This study aims to evaluate the reliability and the dimensional structure of this questionnaire and assesses its ability to measure differences between hospitals in patients' experiences with quality of care.

Methods: Survey data of 4,635 respondents were available. An exploratory factor analysis was performed to evaluate the construct validity of the questionnaire and item-correlations and inter-factor correlations were calculated. Secondly, Cronbach's alpha coefficients were calculated to assess the internal consistency of the scales. Thirdly, to evaluate the ability of the questionnaire to discriminate between hospitals, multilevel analyses were performed with patients hierarchically nested within hospitals.

Results: Exploratory factor analysis resulted in 14 quality of care items subdivided over three factors (i.e. communication with ophthalmologist, communication with nurses, and communication about medication). Cronbach's alpha coefficients of 0.89, 0.76 and 0.79 indicated good internal consistency. Multilevel analyses showed that the questionnaire was able to measure differences in patients' experiences with hospital care regarding communication with ophthalmologist and communication about medication. In addition, there was variation between hospitals regarding ophthalmologist ratings, hospital ratings and one dichotomous information item.

Conclusion: These findings suggest that the CQI Cataract is a reliable and valid instrument. This instrument can be used to measure patients' experiences with three domains of hospital care after a cataract operation and is able to assess differences in evaluated care between hospitals.

Citing Articles

The discriminative power of the ReproQ: a client experience questionnaire in maternity care.

Scheerhagen M, van Stel H, Franx A, Birnie E, Bonsel G PeerJ. 2019; 7:e7575.

PMID: 31799065 PMC: 6884994. DOI: 10.7717/peerj.7575.

Do independent treatment centers offer more value than general hospitals? The case of cataract care.

Kruse F, Groenewoud S, Atsma F, van der Galien O, Adang E, Jeurissen P Health Serv Res. 2019; 54(6):1357-1365.

PMID: 31429482 PMC: 6863231. DOI: 10.1111/1475-6773.13201.

A systematic review of the validity and reliability of patient-reported experience measures.

Bull C, Byrnes J, Hettiarachchi R, Downes M Health Serv Res. 2019; 54(5):1023-1035.

PMID: 31218671 PMC: 6736915. DOI: 10.1111/1475-6773.13187.

Instruments Measuring Integrated Care: A Systematic Review of Measurement Properties.

Bautista M, Nurjono M, Lim Y, Dessers E, Vrijhoef H Milbank Q. 2016; 94(4):862-917.

PMID: 27995711 PMC: 5192798. DOI: 10.1111/1468-0009.12233.

Determinants of adherence to treatment in hypertensive patients of African descent and the role of culturally appropriate education.

Meinema J, van Dijk N, Beune E, Jaarsma D, van Weert H, Haafkens J PLoS One. 2015; 10(8):e0133560.

PMID: 26267453 PMC: 4534399. DOI: 10.1371/journal.pone.0133560.

References

Farley D, Short P, Elliott M, Kanouse D, Brown J, Hays R . Effects of CAHPS health plan performance information on plan choices by New Jersey Medicaid beneficiaries. Health Serv Res. 2002; 37(4):985-1007. PMC: 1464003. DOI: 10.1034/j.1600-0560.2002.62.x. View

Hays R, Shaul J, Williams V, Lubalin J, Sweeny S, Cleary P . Psychometric properties of the CAHPS 1.0 survey measures. Consumer Assessment of Health Plans Study. Med Care. 1999; 37(3 Suppl):MS22-31. DOI: 10.1097/00005650-199903001-00003. View

Spranca M, Kanouse D, Elliott M, Short P, Farley D, Hays R . Do consumer reports of health plan quality affect health plan selection?. Health Serv Res. 2000; 35(5 Pt 1):933-47. PMC: 1089177. View

Monestam E, Kuusik M, Wachtmeister L . Topical anesthesia for cataract surgery: a population-based perspective. J Cataract Refract Surg. 2001; 27(3):445-51. DOI: 10.1016/s0886-3350(00)00637-4. View

Hurtado M, Angeles J, Blahut S, Hays R . Assessment of the equivalence of the Spanish and English versions of the CAHPS Hospital Survey on the quality of inpatient care. Health Serv Res. 2005; 40(6 Pt 2):2140-61. PMC: 1361240. DOI: 10.1111/j.1475-6773.2005.00469.x. View

Sixma H, van Campen C, Kerssens J, Peters L . Quality of care from the perspective of elderly people: the QUOTE-elderly instrument. Age Ageing. 2000; 29(2):173-8. DOI: 10.1093/ageing/29.2.173. View

Arah O, Ten Asbroek A, Delnoij D, de Koning J, Stam P, Poll A . Psychometric properties of the Dutch version of the Hospital-level Consumer Assessment of Health Plans Survey instrument. Health Serv Res. 2006; 41(1):284-301. PMC: 1681536. DOI: 10.1111/j.1475-6773.2005.00462.x. View

Weidmer B, Brown J, Garcia L . Translating the CAHPS 1.0 Survey Instruments into Spanish. Consumer Assessment of Health Plans Study. Med Care. 1999; 37(3 Suppl):MS89-96. DOI: 10.1097/00005650-199903001-00010. View

Stubbe J, Gelsema T, Delnoij D . The Consumer Quality Index Hip Knee Questionnaire measuring patients' experiences with quality of care after a total hip or knee arthroplasty. BMC Health Serv Res. 2007; 7:60. PMC: 1876799. DOI: 10.1186/1472-6963-7-60. View

10.

Morales L, Elliott M, Weech-Maldonado R, Spritzer K, Hays R . Differences in CAHPS adult survey reports and ratings by race and ethnicity: an analysis of the National CAHPS benchmarking data 1.0. Health Serv Res. 2001; 36(3):595-617. PMC: 1089244. View

11.

Harris I, Rich E, Crowson T . Attitudes of internal medicine residents and staff physicians toward various patient characteristics. J Med Educ. 1985; 60(3):192-5. DOI: 10.1097/00001888-198503000-00006. View

12.

van Campen C, Sixma H, Kerssens J, Peters L, Rasker J . Assessing patients' priorities and perceptions of the quality of health care: the development of the QUOTE-Rheumatic-Patients instrument. Br J Rheumatol. 1998; 37(4):362-8. DOI: 10.1093/rheumatology/37.4.362. View

13.

Williams S, Calnan M . Convergence and divergence: assessing criteria of consumer satisfaction across general practice, dental and hospital care settings. Soc Sci Med. 1991; 33(6):707-16. DOI: 10.1016/0277-9536(91)90025-8. View

14.

Stolk E, Rutten F . The "health benefit basket" in the Netherlands. Eur J Health Econ. 2005; Suppl:53-7. PMC: 1388085. DOI: 10.1007/s10198-005-0319-9. View

15.

Hall J, Dornan M . Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990; 30(7):811-8. DOI: 10.1016/0277-9536(90)90205-7. View

16.

Sixma H, Kerssens J, van Campen C, Peters L . Quality of care from the patients' perspective: from theoretical concept to a new measuring instrument. Health Expect. 2001; 1(2):82-95. PMC: 5139902. DOI: 10.1046/j.1369-6513.1998.00004.x. View

17.

Solomon L, Hays R, Zaslavsky A, Ding L, Cleary P . Psychometric properties of a group-level Consumer Assessment of Health Plans Study (CAHPS) instrument. Med Care. 2005; 43(1):53-60. View

18.

Friedman D, Reeves S, Bass E, Lubomski L, Fleisher L, Schein O . Patient preferences for anaesthesia management during cataract surgery. Br J Ophthalmol. 2004; 88(3):333-5. PMC: 1772041. DOI: 10.1136/bjo.2003.028258. View

19.

Carey R, Seibert J . A patient survey system to measure quality improvement: questionnaire reliability and validity. Med Care. 1993; 31(9):834-45. DOI: 10.1097/00005650-199309000-00008. View

20.

Pascoe G, Attkisson C . The evaluation ranking scale: a new methodology for assessing satisfaction. Eval Program Plann. 1982; 6(3-4):335-47. DOI: 10.1016/0149-7189(83)90013-7. View