A national study designed to assess the reliability and validity of a nursing home customer satisfaction survey is summarized. One hundred fifty-nine facilities participated, each responsible for the distribution and collection of 200 questionnaires randomly sent to the home of the resident's responsible party. A total of 9053 completed questionnaires were returned, for an average adjusted response rate of 53%. The factor analysis identified 4 scales: Comfort and Cleanliness, Nursing, Food Services, and Facility Care and Services, each with high reliability. Based on a multiple regression analysis, the scales were shown to have good criterion-related validity, accounting for 64% of the variance in overall quality ratings. Comparisons based on select characteristics indicated significantly different satisfaction ratings among facilities. The results are interpreted as providing evidence for the construct validity of a multidimensional customer satisfaction scale with measured reliability and criterion-related validity. Moreover, the scale can be used to differentiate satisfaction levels among facilities.
Carey RG, Seibert JH. A patient survey system to measure quality improvement: questionnaire reliability and validity. Med Care. 1993;31:834-845.
2.
Seibert JH, Strohmeyer JM, Carey RG. Evaluating the physician office visit: In pursuit of a valid and reliable measure of quality improvement efforts. J Ambulatory Care Manage. 1996; 19(1):17-37.
3.
Koenig HF, Kleinsorge IK. Perceptual measures of quality: A tool to improve nursing home systems. Hospital Health Serv Admin. 1994;39:487-502.
4.
Rubin HR. Can patients evaluate the quality of hospital care. Med Care Rev. 1990;47:265.
5.
Rubin HR, Ware JE Jr, Nelson EC, et al.The patient judgments of hospital quality (PJHQ) questionnaire. In: Patient judgments of hospital quality: Report of a pilot study. Med Care Rev. 1990; 28(Suppl):22.
6.
Ware JE, Jr, Phillips J, Yody B, et al.Assessment tools: Functional health status and patient satisfaction. Am J Med Qual. 1996, 11(l):S50-S53.
7.
Nelson CW, Goldstein AS. Health care quality: The new marketing challenge. Health Care Manage Rev. 1989;14(Spring):87-95.
8.
Peters DA. An overview of current research relating to outcomes of care. NLN Publ. 1989;20-2292:61-79.
9.
Peck RL. What the quality monitors expect of nursing homes. Hospitals. 1994; March: 20-22.
10.
JCAHO. Expectations of hospitals and long-term care organizations. ORYX Outlook. 1996; 22(7):518-526.
11.
Institute for Health and Aging. Chronic Care in America, A 21st Century Challenge. San Francisco: University of California;1996.
12.
Kleinsorge IK, Koenig HF. The silent customers: Measuring customer satisfaction in nursing homes. J Health Care Market. 1991;11(4):2-13.
13.
Pascoe GC. Patient satisfaction in primary health care: A literature review and analysis. Eval Program Plan. 1983;83:185-210.
14.
Pablo RY. Assessing patient satisfaction in long-term care institutionsHospital Admin Canada. 1975;17:22-32.
15.
Fisk TA, Brown CJ, Cannizzaro K, et al.Creating patient satisfaction and loyalty. J Health Care Market. 1990;2:5-15.
16.
Berman S. Putting it (performance measures) together: An interview with Jerod Loeb. Jt Comm J Qual Improve. 1996;22(7): 518-526.
17.
Cronbach L. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297-334.
18.
Helmstader GC. Principles of Psychological Measurement. New York: Appleton-Century-Crofts;1964.
