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BMC Ophthalmology
Published in: BMC Ophthalmology 1/2007

Open Access 01-12-2007 | Research article

Patients' experiences with quality of hospital care: the Consumer Quality Index Cataract Questionnaire

Authors: JH Stubbe, W Brouwer, DMJ Delnoij

Published in: BMC Ophthalmology | Issue 1/2007

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Abstract

Background

Patients' feedback is of great importance in health care policy decisions. The Consumer Quality Index Cataract Questionnaire (CQI Cataract) was used to measure patients' experiences with quality of care after a cataract operation. This study aims to evaluate the reliability and the dimensional structure of this questionnaire and assesses its ability to measure differences between hospitals in patients' experiences with quality of care.

Methods

Survey data of 4,635 respondents were available. An exploratory factor analysis was performed to evaluate the construct validity of the questionnaire and item-correlations and inter-factor correlations were calculated. Secondly, Cronbach's alpha coefficients were calculated to assess the internal consistency of the scales. Thirdly, to evaluate the ability of the questionnaire to discriminate between hospitals, multilevel analyses were performed with patients hierarchically nested within hospitals.

Results

Exploratory factor analysis resulted in 14 quality of care items subdivided over three factors (i.e. communication with ophthalmologist, communication with nurses, and communication about medication). Cronbach's alpha coefficients of 0.89, 0.76 and 0.79 indicated good internal consistency. Multilevel analyses showed that the questionnaire was able to measure differences in patients' experiences with hospital care regarding communication with ophthalmologist and communication about medication. In addition, there was variation between hospitals regarding ophthalmologist ratings, hospital ratings and one dichotomous information item.

Conclusion

These findings suggest that the CQI Cataract is a reliable and valid instrument. This instrument can be used to measure patients' experiences with three domains of hospital care after a cataract operation and is able to assess differences in evaluated care between hospitals.
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Metadata
Title
Patients' experiences with quality of hospital care: the Consumer Quality Index Cataract Questionnaire
Authors
JH Stubbe
W Brouwer
DMJ Delnoij
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2007
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/1471-2415-7-14

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