Measurement of Women's Satisfaction with Primary Care;Final rept. 1 Jul 00-31 Dec 02

摘要

This multi-site collaborative project developed and validated the Primary Care Satisfaction Survey for Women, the first survey tool designed to measure adult women's satisfaction with their primary care experiences. Items in the survey were developed using focus groups of women in multiple communities, cognitive testing in several samples of women, and a field test on a multi-site clinical sample of women (n = 1,202). Factor analysis and item response theory (IRT) methods were used to identify three scales: Communication, Administration and Office Procedures, and Care Coordination and Comprehensiveness. The first two scales relate to a specific visit; the third scale relates to health care received in the past 12 months. The scales demonstrate strong psychometric properties (reliability and validity), have structures that are invariant across subgroups of women defined by age and race/ethnicity, and offer greater explanatory power compared to a generic satisfaction measure. The scales also relate to expectations for health care and to overall ratings of health care quality. The 24-item PCSSW may be self-administered or conducted by telephone and may be used in studies to evaluate or improve the quality of primary care for women.