<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Aim</h3>
<p>Recently, a patient-reported experience measure (PREM) was developed in Slovenia to assess patients’ experiences with outpatient specialist healthcare clinics. The aim of this study was to evaluate the psychometric properties (including factor structure, reliability, convergent validity, and response distribution) of the questionnaire.</p>
</sec>
<sec><h3>Methods</h3>
<p>The sample consisted of 8,406 adult participants treated in 171 specialist clinics from different medical fields. Participants voluntarily and anonymously responded to either the paper or online survey.</p>
</sec>
<sec><h3>Results</h3>
<p>Descriptive statistics show meaningful response patterns with a general tendency towards favourable assessments. The psychometric analyses of the scales evaluating doctor’s and nurses’ work, respectively, generally showed a good fit of the unidimensional factor model as well as the Rasch model, high factor loadings and very good to satisfactory reliability. The Rasch scaling showed that these scales were most informative for patients with relatively unfavourable experience ratings.</p>
</sec>
<sec><h3>Conclusions</h3>
<p>The results are similar to those found in previous evaluations of PREMs in other countries. Given its good psychometric properties, the Slovenian PREM can be recommended for healthcare evaluations in Slovenia and as a model for the development of similar PREMs in other countries.</p>
</sec>
</abstract>

Aim
Recently, a patient-reported experience measure (PREM) was developed in Slovenia to assess patients’ experiences with outpatient specialist healthcare clinics. The aim of this study was to evaluate the psychometric properties (including factor structure, reliability, convergent validity, and response distribution) of the questionnaire.

Methods
The sample consisted of 8,406 adult participants treated in 171 specialist clinics from different medical fields. Participants voluntarily and anonymously responded to either the paper or online survey.

Results
Descriptive statistics show meaningful response patterns with a general tendency towards favourable assessments. The psychometric analyses of the scales evaluating doctor’s and nurses’ work, respectively, generally showed a good fit of the unidimensional factor model as well as the Rasch model, high factor loadings and very good to satisfactory reliability. The Rasch scaling showed that these scales were most informative for patients with relatively unfavourable experience ratings.

Conclusions
The results are similar to those found in previous evaluations of PREMs in other countries. Given its good psychometric properties, the Slovenian PREM can be recommended for healthcare evaluations in Slovenia and as a model for the development of similar PREMs in other countries.

Psychometric Validation of an Instrument for Measuring Patient Experiences with Outpatient Healthcare

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Psihometrična Validacija Inštrumenta za Merjenje Izkušenj Pacientov z Zunajbolnišnično Zdravstveno Obravnavo

Aim
Recently, a patient-reported experience measure (PREM) was developed in Slovenia to assess patients’ experiences with outpatient specialist healthcare...

Item*	n	M	M_trim	Mdn	SD	Min	Max	Skewness	Kurtosis
doctor’s work	3002	33.88	34.85	36	3.93	9	36	−2.71	8.33
nurses’ work	5628	11.64	11.91	12	0.98	3	12	−3.72	17.25
general rating	8307	9.35	9.62	10	1.23	0	10	−3.04	12.65

Psychometric Validation of an Instrument for Measuring Patient Experiences with Outpatient Healthcare

Article Category: Original scientific article

Pubblicato online: 13 giu 2023

Pagine: 153 - 161

Ricevuto: 06 set 2022

Accettato: 11 mag 2023

DOI: https://doi.org/10.2478/sjph-2023-0021

Parole chiave
Patient reported, experience measures, Reliability, Validity, Factor analysis, Slovenia

© 2023 Gregor Sočan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1.

Figure 2.

Figure 3.

Frequencies and percentages of item responses.

Psychometric Validation of an Instrument for Measuring Patient Experiences with Outpatient Healthcare

Article Category: Original scientific article

Pubblicato online: 13 giu 2023

Pagine: 153 - 161

Ricevuto: 06 set 2022

Accettato: 11 mag 2023

DOI: https://doi.org/10.2478/sjph-2023-0021

Parole chiavePatient reported, experience measures, Reliability, Validity, Factor analysis, Slovenia

© 2023 Gregor Sočan et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1.

Figure 2.

Figure 3.

Frequencies and percentages of item responses.

Parole chiave
Patient reported, experience measures, Reliability, Validity, Factor analysis, Slovenia