Community Based Healthcare Services Satisfaction Scale Among Older Adults Development and Psychometric Evaluation

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-07-09 DOI:10.1111/jep.70201

Ji-Peng Yang, Xu-Miao Li, Zhuo-Lin Liang, Rong-Sai Wei, Jing-Ying Liu

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Abstract

Background

Community home-based elderly healthcare services play a crucial role in combating the aging trend. However, China's community home-based elderly healthcare is still in its infancy, and the quality of these services must be enhanced. The satisfaction of older adults as a significant indicator of older adults healthcare services quality is crucial for promoting the enhancement of service quality. Currently, an appropriate instrument to assess community home-based elderly healthcare services satisfaction is limited. The present study aimed to develop and examine the community home-based elderly healthcare services satisfaction scale (CHEHSSS).

Methods

Developing and assessing the scale was carried out in two phases: Phase I involved a literature review and Delphi to explore the themes of satisfaction for community home-based elderly healthcare services and instrument development; Phase II established construct validity of the scale using a sample of 439 elderly in Tianjin. Data from the questionnaire were analysed using Item analysis, exploratory factor analysis, confirmatory factor analysis, and internal consistency. Analysis results were used to determine the reliability and validity of the developed scale.

Results

The scale was developed and validated in two phases. Phase I involved a literature review and Delphi expert consultation (n = 15) to identify satisfaction domains and generate items. Phase II evaluated psychometric properties using a cross-sectional sample of 439 older adults in Tianjin, China. Item analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability tests (Cronbach's α, split-half reliability) were conducted. The results showed seven factors including diagnosis and treatment capacity, professional skills, preventive care, care and respect, transitional care, medical circumstances, and service attitude were generated by exploratory factor analysis, and these factors explained 78.463% of the total variance. Cronbach's α of the community home-based elderly healthcare services satisfaction scale was 0.896.

Conclusions

The establishment of the tool will help to accurately assess the satisfaction of older adults with community home-based healthcare services, which can inform the construction of policies aimed at promoting the quality improvement of community home-based elderly healthcare services.

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老年人社区卫生保健服务满意度量表开发与心理测量学评价

背景社区家居长者健康护理服务在对抗老龄化趋势方面扮演重要角色。然而，中国的社区居家养老仍处于起步阶段，服务质量有待提高。老年人满意度作为衡量老年人医疗服务质量的重要指标，对促进老年人医疗服务质量的提升至关重要。目前，评估社区居家长者保健服务满意度的适当工具有限。本研究旨在编制及检验社区居家长者保健服务满意度量表（CHEHSSS）。方法量表的编制和评估分两个阶段进行：第一阶段采用文献回顾法和德尔菲法探讨社区居家养老服务满意度和量表开发的主题；第二阶段以天津市439名老年人为样本，建立量表的结构效度。采用项目分析、探索性因子分析、验证性因子分析和内部一致性分析对问卷数据进行分析。分析结果用于确定所编制量表的信度和效度。结果该量表分为两个阶段研制和验证。第一阶段包括文献回顾和德尔菲专家咨询（n = 15），以确定满意度领域和生成项目。第二阶段使用中国天津439名老年人的横断面样本评估心理测量特性。进行了项目分析、探索性因子分析（EFA）、验证性因子分析（CFA）和信度检验（Cronbach’s α， split-half信度）。结果显示，探索性因子分析产生了诊疗能力、专业技能、预防护理、护理与尊重、过渡性护理、医疗环境、服务态度7个因子，这些因子解释了总方差的78.463%。社区居家养老服务满意度量表的Cronbach’s α为0.896。结论该工具的建立有助于准确评估老年人对社区居家卫生保健服务的满意度，为促进社区居家卫生保健服务质量提升的政策制定提供依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.