Abstract
Background: Patient feedback is an important tool in assessing health system quality. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) was developed in 2006 as a standardized instrument to assess patient perceptions in the United States of America. This study aimed to translate and validate the HCAHPS questionnaire into the Malay language in order to assess patient perceptions of health services in Malaysia. Methods: The original HCAPHS in English was translated into Malay based on the established guideline. The content validation involved an expert panel of 10 members, including patients. The face validation pilot testing of the HCAHPS-Malay version was conducted among 10 discharged patients. The exploratory factor analysis (EFA) used principal axis factor, and varimax rotation was established based on a cross-sectional study conducted among 200 discharged patients from Hospital Universiti Sains Malaysia (Hospital USM). Results: The overall content validity index was 0.87, and the universal face validity index was 0.82. From the EFA, the factor loading value ranged from 0.652 to 0.961 within nine domains. The internal consistency reliability with Cronbach’s alpha was 0.844. Conclusion: The HCAHPS-Malay is a reliable and valid tool to determine patients’ perception of healthcare services among inpatients in Hospital USM based on the content and face validation result together with a good construct validity and excellent absolute reliability. Further testing on HCAHPS-Malay version in other settings in Malaysia needs to be done for cross-validation.
Highlights
In today’s competitive market, it is crucial for the healthcare system to provide a high quality of care.Research has shown that patients with a positive perception of healthcare services have better clinical outcomes [1,2]
Further testing on HCAHPS-Malay version in other settings in Malaysia needs to be done for cross-validation
The HCAHPS needed to be translated into the Malay language before use in Malaysia
Summary
In today’s competitive market, it is crucial for the healthcare system to provide a high quality of care.Research has shown that patients with a positive perception of healthcare services have better clinical outcomes [1,2]. Patients’ feedback has become an important tool in the process of monitoring and assessing the quality of health systems, leading to the implementation of improvement strategies [4,5]. The feedback from the patient can be in the form of their perceptions, experience, or satisfaction level. Several survey instruments have been developed to assess both forms of patient feedback, Int. J. Patient feedback is an important tool in assessing health system quality. Consumer Assessment of Healthcare Providers and Systems (HCAHPS) was developed in 2006 as a standardized instrument to assess patient perceptions in the United States of America. This study aimed to translate and validate the HCAHPS questionnaire into the Malay language in order to assess patient perceptions of health services in Malaysia. The face validation pilot testing of the HCAHPS-Malay version was conducted among
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