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Published in: BMC Health Services Research 1/2013

Open Access 01-12-2013 | Research article

Health service quality scale: Brazilian Portuguese translation, reliability and validity

Authors: Luiz Roberto Martins Rocha, Daniela Francescato Veiga, Paulo Rocha e Oliveira, Elaine Horibe Song, Lydia Masako Ferreira

Published in: BMC Health Services Research | Issue 1/2013

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Abstract

Background

The Health Service Quality Scale is a multidimensional hierarchical scale that is based on interdisciplinary approach. This instrument was specifically created for measuring health service quality based on marketing and health care concepts. The aim of this study was to translate and culturally adapt the Health Service Quality Scale into Brazilian Portuguese and to assess the validity and reliability of the Brazilian Portuguese version of the instrument.

Methods

We conducted a cross-sectional, observational study, with public health system patients in a Brazilian university hospital. Validity was assessed using Pearson’s correlation coefficient to measure the strength of the association between the Brazilian Portuguese version of the instrument and the SERVQUAL scale. Internal consistency was evaluated using Cronbach’s alpha coefficient; the intraclass (ICC) and Pearson’s correlation coefficients were used for test-retest reliability.

Results

One hundred and sixteen consecutive postoperative patients completed the questionnaire. Pearson’s correlation coefficient for validity was 0.20. Cronbach's alpha for the first and second administrations of the final version of the instrument were 0.982 and 0.986, respectively. For test-retest reliability, Pearson’s correlation coefficient was 0.89 and ICC was 0.90.

Conclusions

The culturally adapted, Brazilian Portuguese version of the Health Service Quality Scale is a valid and reliable instrument to measure health service quality.
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Literature
1.
go back to reference Parasuraman A, Zeithaml VA, Berry LL: A Conceptual model of service quality and its implications for future-research. J Market. 1985, 49: 41-50.CrossRef Parasuraman A, Zeithaml VA, Berry LL: A Conceptual model of service quality and its implications for future-research. J Market. 1985, 49: 41-50.CrossRef
3.
go back to reference Donabedian A: Explorations in Quality Assessment and Monitoring, Volume I. The Definition of Quality and Approaches to its Assessment. 1980, Ann Arbour, MI: Health Administration Press, 1-164. Donabedian A: Explorations in Quality Assessment and Monitoring, Volume I. The Definition of Quality and Approaches to its Assessment. 1980, Ann Arbour, MI: Health Administration Press, 1-164.
4.
go back to reference Donabedian A: The effectiveness of quality assurance. Int J Qual Health Care. 1996, 8: 401-407.PubMed Donabedian A: The effectiveness of quality assurance. Int J Qual Health Care. 1996, 8: 401-407.PubMed
5.
go back to reference Ware JE, Snyder MK, Wright WR, Davies AR: Defining and measuring patient satisfaction with medical care. Eval Program Plann. 1983, 6: 247-263. 10.1016/0149-7189(83)90005-8.CrossRefPubMed Ware JE, Snyder MK, Wright WR, Davies AR: Defining and measuring patient satisfaction with medical care. Eval Program Plann. 1983, 6: 247-263. 10.1016/0149-7189(83)90005-8.CrossRefPubMed
6.
go back to reference Alderman AK, Wilkins EG, Lowery JC, Kim M, Davis JA: Determinants of patient satisfaction in postmastectomy breast reconstruction. Plast Reconstr Surg. 2000, 106: 769-776.CrossRefPubMed Alderman AK, Wilkins EG, Lowery JC, Kim M, Davis JA: Determinants of patient satisfaction in postmastectomy breast reconstruction. Plast Reconstr Surg. 2000, 106: 769-776.CrossRefPubMed
7.
go back to reference Atisha DM, Alderman AK, Kuhn LE, Wilkins EG: The impact of obesity on patient satisfaction with breast reconstruction. Plast Reconstr Surg. 2008, 121: 1893-1899. 10.1097/PRS.0b013e3181715198.CrossRefPubMed Atisha DM, Alderman AK, Kuhn LE, Wilkins EG: The impact of obesity on patient satisfaction with breast reconstruction. Plast Reconstr Surg. 2008, 121: 1893-1899. 10.1097/PRS.0b013e3181715198.CrossRefPubMed
8.
go back to reference Sofaer S, Firminger K: Patient perceptions of the quality of health services. Annu Rev Publ Health. 2005, 26: 513-559. 10.1146/annurev.publhealth.25.050503.153958.CrossRef Sofaer S, Firminger K: Patient perceptions of the quality of health services. Annu Rev Publ Health. 2005, 26: 513-559. 10.1146/annurev.publhealth.25.050503.153958.CrossRef
9.
go back to reference Berry LL, Bendapudi N: Health care: a fertile field for service research. J Serv Res. 2007, 10: 111-122. 10.1177/1094670507306682.CrossRef Berry LL, Bendapudi N: Health care: a fertile field for service research. J Serv Res. 2007, 10: 111-122. 10.1177/1094670507306682.CrossRef
10.
go back to reference Parasuraman A, Zeithaml VA, Berry LL: SERVQUAL: A multiple-item scale for measuring customer perceptions of service quality. J Retailing. 1988, 64: 12-40. Parasuraman A, Zeithaml VA, Berry LL: SERVQUAL: A multiple-item scale for measuring customer perceptions of service quality. J Retailing. 1988, 64: 12-40.
11.
go back to reference Dagger TS, Sweeney JC, Johnson LW: A hierarchical model of health service quality: scale development and investigation of an integrated model. J Serv Res. 2007, 10: 123-142. 10.1177/1094670507309594.CrossRef Dagger TS, Sweeney JC, Johnson LW: A hierarchical model of health service quality: scale development and investigation of an integrated model. J Serv Res. 2007, 10: 123-142. 10.1177/1094670507309594.CrossRef
12.
go back to reference Fitzsimmons JA, Fitzsimmons MJ: Administração de serviços: operações, estratégias e tecnologia da informação. 2005, Porto Alegre: Bookman, 4 Fitzsimmons JA, Fitzsimmons MJ: Administração de serviços: operações, estratégias e tecnologia da informação. 2005, Porto Alegre: Bookman, 4
13.
go back to reference Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993, 46: 1417-1432. 10.1016/0895-4356(93)90142-N.CrossRefPubMed Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993, 46: 1417-1432. 10.1016/0895-4356(93)90142-N.CrossRefPubMed
15.
go back to reference Bonett DG, Wright TA: Sample size requirements for estimating Pearson, Kendall, and spearman correlations. Psychometrika. 2000, 65: 23-28. 10.1007/BF02294183.CrossRef Bonett DG, Wright TA: Sample size requirements for estimating Pearson, Kendall, and spearman correlations. Psychometrika. 2000, 65: 23-28. 10.1007/BF02294183.CrossRef
19.
go back to reference Vecina Neto G, Malik AM: Trends in hospital care. Ciênc Saúde Coletiva. 2007, 12: 825-839.CrossRef Vecina Neto G, Malik AM: Trends in hospital care. Ciênc Saúde Coletiva. 2007, 12: 825-839.CrossRef
20.
go back to reference La Forgia GM, Couttolenc BF: Desempenho hospitalar no Brasil: em busca da excelência. 2009, São Paulo: Editora Singular La Forgia GM, Couttolenc BF: Desempenho hospitalar no Brasil: em busca da excelência. 2009, São Paulo: Editora Singular
21.
go back to reference Headley DE, Miller SJ: Measuring service quality and its relationship to future consumer behavior. J Health Care Mark. 1993, 13: 32-41.PubMed Headley DE, Miller SJ: Measuring service quality and its relationship to future consumer behavior. J Health Care Mark. 1993, 13: 32-41.PubMed
22.
go back to reference Dagger TS, Sweeney JC: The effect of service evaluations on behavioral intentions and quality-of-life. J Serv Res. 2006, 9: 3-18. 10.1177/1094670506289528.CrossRef Dagger TS, Sweeney JC: The effect of service evaluations on behavioral intentions and quality-of-life. J Serv Res. 2006, 9: 3-18. 10.1177/1094670506289528.CrossRef
23.
go back to reference Messina DJ, Scotti DJ, Ganey R, Zipp GP: The relationship between patient satisfaction and inpatient admissions across teaching and nonteaching hospitals. J Healthc Manag. 2009, 54: 177-189.PubMed Messina DJ, Scotti DJ, Ganey R, Zipp GP: The relationship between patient satisfaction and inpatient admissions across teaching and nonteaching hospitals. J Healthc Manag. 2009, 54: 177-189.PubMed
24.
go back to reference Nunnally JC, Bernstein IH: Psychometric theory. 1994, New York: McGraw-Hill, 3 Nunnally JC, Bernstein IH: Psychometric theory. 1994, New York: McGraw-Hill, 3
25.
go back to reference Hughey DW, Chawla SK, Khan ZU: Measuring the quality of university computer labs using SERVQUAL: a longitudinal study. Qual Manag J. 2003, 10: 33-44. Hughey DW, Chawla SK, Khan ZU: Measuring the quality of university computer labs using SERVQUAL: a longitudinal study. Qual Manag J. 2003, 10: 33-44.
26.
go back to reference Siegel S, Castellan NJ: Estatística não paramétrica: para ciências do comportamento [Non-parametric statistics for the behavioural sciences]. 1975, São Paulo: Mc Graw-Hill Siegel S, Castellan NJ: Estatística não paramétrica: para ciências do comportamento [Non-parametric statistics for the behavioural sciences]. 1975, São Paulo: Mc Graw-Hill
27.
go back to reference Tamanini JT, Dambros M, D'ancona CA, Palma PC, Rodrigues Netto N: Validation of the "international consultation on incontinence questionnaire – short form" (ICIQ-SF) for portuguese. Rev Saude Publica. 2004, 38: 438-444. 10.1590/S0034-89102004000300015.CrossRefPubMed Tamanini JT, Dambros M, D'ancona CA, Palma PC, Rodrigues Netto N: Validation of the "international consultation on incontinence questionnaire – short form" (ICIQ-SF) for portuguese. Rev Saude Publica. 2004, 38: 438-444. 10.1590/S0034-89102004000300015.CrossRefPubMed
28.
go back to reference Pestana MH, Gagueiro JN: Análise de dados para ciências sociais: a complementariedade do SPSS. 2005, Lisboa: Editora Sílabo, 4 Pestana MH, Gagueiro JN: Análise de dados para ciências sociais: a complementariedade do SPSS. 2005, Lisboa: Editora Sílabo, 4
29.
go back to reference Triola MF: Introdução à estatística. 2005, Rio de Janeiro: LTC, 9 Triola MF: Introdução à estatística. 2005, Rio de Janeiro: LTC, 9
30.
go back to reference Porter ME: A strategy for health care reform–toward a value-based system. N Engl J Med. 2009, 361: 109-112. 10.1056/NEJMp0904131.CrossRefPubMed Porter ME: A strategy for health care reform–toward a value-based system. N Engl J Med. 2009, 361: 109-112. 10.1056/NEJMp0904131.CrossRefPubMed
Metadata
Title
Health service quality scale: Brazilian Portuguese translation, reliability and validity
Authors
Luiz Roberto Martins Rocha
Daniela Francescato Veiga
Paulo Rocha e Oliveira
Elaine Horibe Song
Lydia Masako Ferreira
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2013
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-13-24

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