Women's Health Issues
Volume 14, Issue 2 , Pages 35-50, March 2004

The development and validation of the primary care satisfaction survey for women☆

  • Sarah Hudson Scholle, DrPH

      Affiliations

    • Corresponding Author InformationCorrespondence to: Sarah Hudson Scholle, DrPH, National Committee for Quality Assurance, 2000 L Street NW, Suite 500, Washington, DC 20036, USA; phone: 202-955-1726.
    • Departments of Psychiatry, Pediatrics and Health Services Administration, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
    • ,
  • Carol S. Weisman, PhD

      Affiliations

    • University of Michigan School of Public Health, Ann Arbor, Michigan, USA
    • ,
  • Roger T. Anderson, PhD

      Affiliations

    • Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
    • ,
  • Fabian Camacho, MS

      Affiliations

    • Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA

Abstract 

Assessing patient satisfaction with health care is becoming an integral component of quality monitoring in health care systems, but existing tools typically were developed to minimize differences related to gender. This paper reports the development and psychometric properties of a new survey instrument to measure women's satisfaction with their primary care. A multisite, cross-sectional validation survey of 1,202 women receiving care in primary care settings in Michigan, North Carolina, and Pennsylvania was conducted. Item response theory (IRT) and factor analysis methods were used to identify three scales in the Primary Care Satisfaction Survey for Women (PCSSW): Communication, Administration and Office Procedures, and Care Coordination and Comprehensiveness. Internal consistency reliability is reported, as well as convergent validity in relation to two generic measures (Medical Outcomes Study [MOS] Visit Satisfaction and Consumer Assessment of Health Plans Survey [CAHPS] overall quality rating); discriminant validity in relation to groups expected to have differing satisfaction levels based on previous literature; predictive validity in relation to behavioral intentions; and explanatory power in overall satisfaction ratings. 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.

Keywords:  Satisfaction, Primary care, Women's health, Item response theory

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☆ Dr. Scholle is now with the National Committee for Quality Assurance, Washington, DCDr. Weisman is now at Penn State College of Medicine, Hershey, Pennsylvania.Author's note: Copies of the Primary Care Satisfaction Survey for Women (PCSSW) may be obtained at www.whqa.org.Supported by a research grant from the Agency for Healthcare Research and Quality (R01 HS10237-01A1) and contracts from the DHHS Office on Women's Health (Contract no. 00T00215901D).

PII: S1049-3867(04)00015-5

doi:10.1016/j.whi.2004.03.001

Women's Health Issues
Volume 14, Issue 2 , Pages 35-50, March 2004

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