Psychometric properties of the Nine-Item Chinese Patient Satisfaction Questionnaire (ChPSQ-9) in Chinese patients with hepatocellular carcinoma

Abstract

Patient-centered approaches to health-care delivery have increased interest in patient satisfaction with care. However, there is no instrument currently available which takes into account the specific concerns of Chinese patients. This study aimed to evaluate the psychometric properties of the Nine-Item Chinese Patient Satisfaction Questionnaire (ChPSQ-9) in a Chinese hepatocellular carcinoma (HPC) sample. A total of 222 Chinese patients with primary HPC completed the ChPSQ-9, the Medical Interview Satisfaction Scale (MISS), and eating satisfaction measures. The principal component analysis yielded two factors in the ChPSQ-9, named 'doctor' and 'nurse' subscales, which explained 79% of the total variance. The instrument also possessed good internal consistency (Cronbach α = 0.93) and concurrent validity with MISS. The divergent validity was indicated by inverse relationships between the ChPSQ-9 and eating satisfaction. The current results support the use of the ChPSQ-9 as a self-report measure of patient satisfaction among Chinese HPC populations and suggest that a caring orientation was highly valued by these patients. Copyright © 2007 John Wiley & Sons, Ltd.