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
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Biography
Dr. Hudson Scholle is a health services researcher with an interest in quality of health care for women and families.
Biography
Dr. Weisman is a sociologist and health services researcher with a principal interest in women's health care and policy.
Biography
Dr. Anderson is a health services researcher who conducts research on patient satisfaction and health care quality.
Biography
Mr. Camacho is a research associate with an interest in health-related quality of life and scale development.
Article info
Footnotes
☆Dr. Scholle is now with the National Committee for Quality Assurance, Washington, DC
☆Dr. 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).
Identification
Copyright
© 2004 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
