Propuesta de instrumento para evaluar la calidad percibida por pacientes tratados por cirug?-a de m?-nimo acceso

摘要

Introduction: In the last two decades Minimal Access Surgery has had an important development in Cuba. Patient satisfaction with these services is higher, nevertheless today it is not well knows on a scientific basis. Objective: design and validate by experts a measurement instrument to assess the patient-perceived quality of patients operated by minimal access surgery. Methods: A measurement instrument, including questionnaire and standards, was developed and validated by experts, to evaluate the patient-perceived quality in the dimensions structure, process and results. Results: The experts considered the one hundred percent of questions in the instrument justified and relevant. Only three questions no fulfilled with one of the Moriyama’s requirement and were improved. New items related with processes criteria were included. The ordinal 5-point Likert scale was modified to 4-point scale. Quality standards were fixed to 80 percent or higher for each of three levels: each dimension, each criterion for all evaluated and each patient according to all criteria. Conclusion: The study shows a validated instrument by experts to evaluate the patient’s satisfaction in minimal access surgery.