Abstract
Background and aims: There is a lack of instruments for assessing patient-perceived qualify of care developed from a process perspective and also from theoretical concepts based on a patient perspective. The objective was to develop an instrument for following-up the care and rehabilitation process of the elderly from the patients’ perspective. Methods: The present instrument, the “Patient perspective On Care and Rehabilitation process” (POCR), is based on a theoretical framework for the patients’ evaluation of the care process, i.e., an instrument-construction reflecting that the patients’ needs differed during the care process. The POCR contains two scales; one measures the fulfilment of needs and the other the importance of the fulfilment of needs. Data collection took place via telephone interviews. Results: A factor analysis based on 306 cases resulted in seven factors reflecting the different phases in the care process and with an explained variance of 60.8. Assessed by Cronbach’s alpha coefficient, the internal consistency was 0.83 for the total importance scale and between 0.55–0.71 for each factor. Conclusions: The POCR is a valid, reliable and useful multidimensional instrument for measuring patient-perceived outcome of the care and rehabilitation process in the elderly.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Øvretveit J. Health service quality. Cambridge: University Press, 1992.
Donabedian A. The quality of care. How can it be assessed? JAMA 1988; 260: 1743–8.
Donabedian A. Explorations in quality assessment and monitoring. Michigan: Health Administration Press, 1980.
Strasser S, Aharony L, Greenberger D. The patient satisfaction process: moving toward a comprehensive model. Med Care Res Rev 1993; 50: 219–48.
Williams B. Patient satisfaction: a valid concept? Soc Sci Med 1994; 38: 509–16.
Sixma HJ, Kerssens JJ, van Campen C, Peters L. Quality of care from the patients’ perspective: from theoretical concept to a new measuring instrument. Health Expectations 1998; 1: 82–95.
Williams B, Coyle J, Healy D. The meaning of patient satisfaction: an explanation of high reported levels. Soc Sci Med 1998; 47: 1351–9.
Streiner DL, Norman GR. Health Measurement Scales: A practical guide to their development and use, 2nd ed. Oxford: Oxford University Press, 1995.
van Campen C, Sixma H, Friele RD, Kerssens JJ, Peters L. Quality of care and patient satisfaction: a review of measuring instruments. Med Care Res Rev 1995; 52: 109–33.
Lee Y, Kasper JD. Age differences in ratings of medical care among older adults living in the community. Aging Clin Exp Res 1999; 11: 12–20.
Burnside I. Preski S. Hertz JE. Research instrumentation and elderly subjects. Image J Nurs Sch 1998; 30: 185–90.
Rockwood K. Integration of research methods and outcome measures: Comprehensive care for the frail elderly. Can J Aging 1995; 14(Suppl 1): 151–64.
Krevers B, Närvänen A-L, Öberg B. Patients evaluation of the care process — within geriatric hospital care. Disabil Rehabil 2002; 24: 482–91.
Harris LE, Weinberger M, Tierney WM. Assessing inner-city patients’ hospital experiences. A controlled trial of telephone interviews versus mailed surveys. Med Care 1997; 35: 70–6.
Hutchinson A, Bentzen N, König-Zahn C, Eds. Cross cultural health outcome assessment; a user’s guide. European Research Group on Health Outcomes. Drukkerij Bariet bv. Ruinen, 1996.
Linder-Pelz SU. Toward a theory of patient satisfaction. Soc Sci Med 1982; 16: 577–82.
Linder-Pelz S. Social psychological determinants of patient satisfaction: a test of five hypothesis. Soc Sci Med 1982; 16: 583–9.
Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its implications for future research. Journal of Marketing 1985; 49: 41–50.
Wilde B, Larsson G, Larsson M, Starrin B. Quality of care from the elderly person’s perspective: subjective importance and perceived reality. Aging Clin Exp Res 1995; 7: 140–9.
von Essen L, Sjöden P. Perceived occurrence and importance of caring behaviours among patients and staff in psychiatric, medical and surgical care. J Adv Nurs 1995; 21: 266–76.
Eldar R. A conceptual proposal for the study of the quality of rehabilitation care. Disabil Rehabil 2000; 22: 163–9.
Herr KA, Mobily PR. Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res 1993; 6: 39–46.
Sitzia J. How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care 1999; 11: 319–28.
Author information
Authors and Affiliations
Corresponding author
Additional information
An erratum to this article is available at http://dx.doi.org/10.1007/BF03327354.
Rights and permissions
About this article
Cite this article
Krevers, B., Öberg, B. Development of the ‘Patient perspective On Care and Rehabilitation process’ instrument (POCR). Aging Clin Exp Res 14, 402–411 (2002). https://doi.org/10.1007/BF03324469
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03324469