Salih AKYÜZ, Julide YILDIRIM, Dilek ÖZTAŞ

DEVELOPMENT OF A SATISFACTION QUESTIONNAIRE FOR CANCER PATIENTS IN TURKEY - TÜRKİYE'DEKİ KANSER HASTALARI İÇİN MEMNUNİYET ANKETİ GELİŞTİRME

Çalışmanın amacı, Türk kanser hastaları için yeni bir memnuniyet anketi geliştirmektir. Anket soruları, hastaların ileri düzey bakım konusundaki beklentilerini araştıran soruların yanı sıra sağlık hizmeti sağlayıcıları, tıbbi bakım ve hastanelerdeki hasta memnuniyeti ile ilgilidir. Ankara'daki sekiz devlet hastanesinden 710 kanser hastası araştırmaya katıldı. Ölçek boyutlarını doğrulamak için açımlayıcı ve de doğrulayıcı faktör analizi kullanılmıştır. Bir hipotetik model, örnek verilere uygunluğun yeterliliğini belirlemek için yapısal eşitlik modellemesi ile değerlendirilmiştir. Açımlayıcı faktör analizi, hasta memnuniyeti için varyansın yüzde 92'sini açıklayan üç yorumlanabilir boyut belirlemiştir. Bu faktörlerden elde edilen alt ölçekler; sağlık hizmeti sağlayıcılarından memnuniyet, hastane memnuniyeti ve sağlık hizmetlerinden memnuniyet. Her bir alt ölçek mükemmel iç tutarlılık nedeniyle kabul edilebilirdi (Cronbach alfa değeri 0.70-0.95 arasındaydı). Yapısal eşitlik modellemesi, üç alan dahilinde 19 maddeden oluşan uygun bir model oluşturmuştur. Bu çalışma, Türkiye'de kanser hastaları için güvenilir bir hasta memnuniyeti aracını geliştirdi ve onayladı. Ölçme aracı mükemmel psikometrik özellikler gösterdi, böylece hasta memnuniyetini izlemek için mevcut bir hastane kalite izleme sistemine dahil edilebilir.

Anahtar Kelimeler:

faktör analizi, hasta memnuniyeti, yapısal eşitlik modellemesi, kanser, Türkiye

DEVELOPMENT OF A SATISFACTION QUESTIONNAIRE FOR CANCER PATIENTS IN TURKEY - TÜRKİYE'DEKİ KANSER HASTALARI İÇİN MEMNUNİYET ANKETİ GELİŞTİRME

Purpose is to develop and validate a novel patient satisfaction questionnaire for Turkish cancer patients. A questionnaire has been constructed. The survey questions relate to patient satisfaction with healthcare providers, medical care received and hospitals, in addition to questions exploring the expectations of the patients about advanced care. 710 cancer patients participated in the survey from eight public hospitals in Ankara. Both exploratory and confirmatory factor analysis have been employed to verify the scale dimensions. A hypothetical model was evaluated by structural equation modelling to determine the adequacy of goodness-of-fit to sample data. The exploratory factor analysis identified three interpretable dimensions which explained 92 per cent of the variance for the patient satisfaction. The subscales derived from these factors were satisfaction from healthcare providers; satisfaction from hospital and satisfaction from health service. Each subscale had acceptable to excellent internal consistency (Cronbach’s alpha ranged from 0.70–0.95). Structural equation modelling resulted in a sufficient model fit of 19 items within three domains. This study developed and validated a reliable patient satisfaction instrument for cancer patients in Turkey. The instrument showed excellent psychometric properties, thus it can be incorporated into an existing hospital quality monitoring system to monitor patient satisfaction.

Keywords:

factor analysis, patient satisfaction, structural equation modelling, cancer, Turkey,

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