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, 23 (6), 554-70

Psychometric Properties of the Instrument Quality in Psychiatric Care and Descriptions of Quality of Care Among In-Patients

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Psychometric Properties of the Instrument Quality in Psychiatric Care and Descriptions of Quality of Care Among In-Patients

Agneta Schröder et al. Int J Health Care Qual Assur.

Abstract

Purpose: The purpose of this paper is to test the psychometric properties and dimensionality of a new instrument, quality in psychiatric care (QPC), and to describe and compare quality of care among in-patients as measured by this instrument.

Design/methodology/approach: The instrument quality in psychiatric care measures patients' experiences regarding quality of care. The instrument is based on a definition of quality of care from the patients' perspective. A sample of 265 in-patients at eight general psychiatric wards in Sweden was assessed.

Findings: Exploratory factor analysis revealed that the original five-dimensional 69-item QPC was better with six dimensions and reduced to 30 items, hereinafter denoted quality in psychiatric care-in-patients (QPC-IP) with retained internal consistency. The patients' ratings of quality of care were generally high; the highest rating was for quality of encounter and the lowest for participation.

Research limitations/implications: Analysis of the dropouts was not possible because of incomplete registrations at the wards.

Practical implications: QPC-IP is a simple, inexpensive and quick way to evaluate quality of care and thus contributes to health care improvement in the field of psychiatry.

Originality/value: The new 30 items instrument, QPC-IP includes important aspects of patients' perceptions of quality of care. The QPC-IP is psychometrically adequate and thus recommended for evaluating patients' experiences of the quality of psychiatric care.

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