Abstract
BackgroundPatient surveys constitute a valuable source of information in patient-focused health care. The objective of this study was to develop and validate a standardized, patient centered, quantitative instrument to assess parent satisfaction in ambulatory pediatric care to be used in quality management and benchmarking activities, the Child-ZAP.MethodsA preliminary version of the survey (38 items) was conducted in n = 19 pediatric practices. After psychometric testing a modified Child-ZAP was tested in a second survey (n = 20 new pediatric practices). Data from n = 979 patients were available for analysis.ResultsThe final version of the Child-ZAP contains eight dimensions, three "Child-Scales" and five "Parent-Scales". Confirmatory factor analysis confirms the three hypothesized child dimensions as well as the five parent dimensions. The factorial structure is confirmed in subgroups of younger and older children.ConclusionsWith satisfactory to good results for validity and reliability testing, the final Child-ZAP is applicable in pediatric ambulatory care for children of all age groups.
Highlights
Patient surveys constitute a valuable source of information in patient-focused health care
We decided against the use of different versions for various age groups to ensure that the questionnaire can be widely used for parents of children of all ages in every day pediatric outpatient care [20]
Sample characteristics A total of 979 valid questionnaires were available for analysis
Summary
Patient surveys constitute a valuable source of information in patient-focused health care. The patients themselves can authentically report their perceptions of health care processes and outcomes. Patient input is a valuable source of information needed for a patient-oriented organization of health care. Current quality management and certification procedures throughout health care sectors (ambulatory care physicians, hospitals, rehabilitation centres) require patient surveys on satisfaction and outcomes of care [5,6]. Data from such surveys are used for benchmarking purposes and are made publicly accessible [7]
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