Validation of the patient-reported experience measure for care in Chinese hospitals (PREM-CCH)

Xuanxuan Wang,Bo Burström,Kristina Burström,Yaling Yang,Jiaying Chen

doi:10.1186/s12939-020-01370-6

Abstract

BackgroundA psychometrically validated instrument to measure patient experience in Chinese public hospitals would be useful and is currently lacking. Our research team developed the Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH). We aimed to validate this PREM-CCH in the present study.MethodsData were drawn from a cross-sectional patient survey in 2016. Complete responses from 2293 outpatients and 1510 inpatients were included. Separate psychometric evaluation was carried out on outpatient and inpatient PREM-CCHs in terms of exploratory factor analysis, internal consistency, construct validity and criterion validity.ResultsThe validated outpatient PREM-CCH contained 22 items and five Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, and Hospital recommendation. The validated inpatient PREM-CCH contained 19 items and six Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, Health outcomes, and Hospital recommendation. The PREM-CCH showed satisfactory internal consistency, construct validity and criterion validity.ConclusionsThe PREM-CCH is one of the first validated instruments capturing patient experience of care in the context of Chinese public hospitals. It performed well in the psychometric evaluation. It consists of a basic set of items important to patients that could be applicable to public hospitals in China and actionable to inform quality improvement initiatives.

Highlights

China has a hospital-centered health-care delivery system
As survey instruments to capture patient experience, Patient-Reported Experience Measures (PREMs) can elicit feedback from patients regarding whether certain factors important to patients occur or not [11]
Patient experience has been highlighted at the national level in many European countries and patient experience data have been increasingly used worldwide to evaluate the performance of health-care providers and to stimulate quality improvement [16,17,18,19,20]

Summary

Introduction

Public hospitals consume a huge amount of health resources of both outpatient and inpatient care in China [1]. In 2019, Chinese public hospitals provided 37.5% of the outpatient visits and 65.8% of the inpatient admissions, and accounted for almost half of the total health. Patient experience has been highlighted at the national level in many European countries and patient experience data have been increasingly used worldwide to evaluate the performance of health-care providers and to stimulate quality improvement [16,17,18,19,20]. A psychometrically validated instrument to measure patient experience in Chinese public hospitals would be useful and is currently lacking. Our research team developed the Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH). We aimed to validate this PREM-CCH in the present study

Objectives

Methods

Results

Discussion

Conclusion