Age and Ageing, Vol 29, 173-178, Copyright © 2000 by British Geriatrics Society
H Sixma, C van Campen, J Kerssens and L Peters
Background. Patients views on the quality of care are
usually assessed by means of patient satisfaction
questionnaires.Aim. To develop an instrument that
would: (i) produce data related to the expectations and experiences of
non-institutionalized elderly people, (ii) contain items that had been
formulated in collaboration with elderly people, (iii) measure quality from
the perspective of the users of health care services and (iv) produce data
on generic quality aspects and quality aspects specifically related to the
needs of elderly people.Method. We developed the
instrument for measuring quality of care from the perspective of
non-institutionalized elderly people (QUOTE-Elderly) by using a combination
of qualitative and quantitative methods. We obtained empirical data on the
opinions and experiences of 338 elderly people. We evaluated the taxonomy
of the instrument, internal consistency of (sub)scales and the feasibility
of the instrument using explorative and confirmative factor analyses and
reliability analysis.Results. Using scale
optimization, we produced a self-administered questionnaire on quality of
health care from the perspective of elderly people. This contains
scientific characteristics and provides specific information for practical
quality-assurance policies.Keywords: elderly, home
care, instruments, patient reports, patient satisfaction, quality of care
ARTICLES
Quality of care from the perspective of elderly people: the QUOTE-Elderly instrument
Netherlands Institute of Primary Health Care (NIVEL), PO Box 1568, 3500 BN Utrecht, The Netherlands; Corresponding author; (+33) 30 2729729; E-mail: h.sixma@nivel.nl
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