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Revista Facultad Nacional de Salud Pública

Print version ISSN 0120-386X

Abstract

GALLEGO-ALVAREZ, Erika Andrea; CASTILLO-GUTIERREZ, Juliana  and  CARDONA-ARIAS, Jaiberth Antonio. Reproducibility and validity of the Picker Patient Experience (26-item version) in research participants in Medellin, Colombia, in 2018. Rev. Fac. Nac. Salud Pública [online]. 2020, vol.38, n.1, e338423. ISSN 0120-386X.  https://doi.org/10.17533/udea.rfnsp.v38n1e338423.

Objective:

To evaluate the reproducibility and validity of the 26-item Picker Patient Experience, in research participants of a high complexity institution in Medellin, Colombia, in 2018.

Methodology:

Psychometric evaluation in 241 subjects, through reliability with Cronbach's alpha, internal consistency with Spearman correlations, appearance, content and predictive validity with factor analysis.

Results:

Over 90% of participants positively rated the clarity of the information, relationship with care staff and care. Cronbach's alpha was 0.70 (confidence interval - CI - 95% = 0.64-0.76); the correlations in internal consistency were greater than 0.30 in half of the items; in the content validity, the success rate was greater than 90%; predictive validity was moderate, with a proportion of variance explained of 55%. On a scale of zero (worst result) to one hundred (best), 50% of the central values of the Picker Patient Experience ranged between 80.8 and 92.3, with a range between 62 and 98, demonstrating the excellent perception of quality in the study group, with no statistical differences according to age, number of children, schooling, socioeconomic status of housing, marital status, or occupation. The only statistical association was found with sex, the median score being lower in women (Me = 85; interquartile range —IR— = 81-92) compared to men (Me = 87; IR = 83-94).

Conclusion:

There is a reproducible, valid and useful scale for the perception of quality in research with 26 items, corresponding to a modification of the Spanish version of the 33-item Picker Patient Experience. This is of great relevance, considering that the quality of care requires the inclusion of the patient's perspective with psychometrically robust constructs.

Keywords : health services; quality of health care; health services research; patient care; patient satisfaction; psychometry; 26-item Picker Patient Experience; Colombia.

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