Assessing patient experience and attitude: BSC-PATIENT development, translation, and psychometric evaluation - a cross-sectional study Article Swipe
YOU?
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· 2022
· Open Access
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· DOI: https://doi.org/10.21203/rs.3.rs-1143609/v2
Background Improving the healthcare sector in Palestinian territories is challenging. Organizations frequently use the balanced scorecard (BSC) for performance evaluation (PE) worldwide. BSC includes an evaluation of five perspectives: financial, customer, internal process, knowledge and innovation, and environmental. Most HealthCare Organizations (HCO) evaluated patient satisfaction in BSC, but none considered engaging patients in the evaluation process. This paper aims to develop an instrument to engage patients in assessing BSC perspectives (BSC-PATIENT) and customize it for Palestinian hospitals. Methods This is a cross-sectional study. Two panels of experts participated in the item generation of BSC-PATIENT. Forward and backward translation processes from English to Arabic and vice versa were performed. Pretesting was performed for 30 patients at one hospital. Then, 1000 patients were recruited at 14 hospitals between January and October 2021. Construct validity was tested through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Additionally, the composite reliability (CR), interitem correlation (IIC), and corrected item total correlation (CITC) were assessed to find redundant and low correlated items. Results The scales had high adequate model fit in EFA and CFA. All items included had loadings higher than 0.50. Although the convergent validity was less than 0.50 for some constructs, their discriminant validity, CR, IIC, and CITC showed satisfactory results except the services experience (SERV EXR) construct, which had a CR of 0.50. The final best fit model in CFA comprised ten constructs with 34 items. Conclusion BSC-PATIENT is the first self-administered questionnaire specially developed to engage patients in evaluating their experiences and attitudes based on the BSC perspectives. The questionnaire scales were carried out following relevant guidelines and regulations. The results showed adequacy in the psychometric properties of this instrument. Three-point Likert scales are recommended to assess patient experiences and attitudes since they have higher response rates. Future research can be conducted using this instrument to evaluate the impact of patient experience on attitudes toward BSC perspectives and compare the differences based on patient and hospital characteristics.
Related Topics
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-1143609/v2
- https://www.researchsquare.com/article/rs-1143609/latest.pdf
- OA Status
- green
- Cited By
- 3
- References
- 51
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4220797462
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- OpenAlex ID
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https://openalex.org/W4220797462Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.21203/rs.3.rs-1143609/v2Digital Object Identifier
- Title
-
Assessing patient experience and attitude: BSC-PATIENT development, translation, and psychometric evaluation - a cross-sectional studyWork title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-01-10Full publication date if available
- Authors
-
Faten Amer, Sahar Hammoud, David Onchonga, Abdulsalam Alkaiyat, Abdulnaser Ibrahim Nour, I Boncz, D. EndreiList of authors in order
- Landing page
-
https://doi.org/10.21203/rs.3.rs-1143609/v2Publisher landing page
- PDF URL
-
https://www.researchsquare.com/article/rs-1143609/latest.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.researchsquare.com/article/rs-1143609/latest.pdfDirect OA link when available
- Concepts
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Balanced scorecard, Construct validity, Confirmatory factor analysis, Exploratory factor analysis, Discriminant validity, Convergent validity, Construct (python library), Psychology, Patient satisfaction, Health care, Reliability (semiconductor), Medicine, Nursing, Psychometrics, Structural equation modeling, Process management, Clinical psychology, Business, Computer science, Statistics, Political science, Mathematics, Internal consistency, Programming language, Physics, Power (physics), Law, Quantum mechanicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
- Citations by year (recent)
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2022: 3Per-year citation counts (last 5 years)
- References (count)
-
51Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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