Assessing Patient Experience and Attitude: BSC-PATIENT Development, Translation, and Psychometric Evaluation—A Cross-Sectional Study

Faten Amer, Sahar Hammoud, David Onchonga, Abdulsalam Alkaiyat, Abdulnaser Nour, Dóra Endrei and Imre Boncz
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Faten Amer: Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pécs, Hungary
Sahar Hammoud: Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pécs, Hungary
David Onchonga: Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, H-7621 Pécs, Hungary
Abdulsalam Alkaiyat: Division of Public Health, Faculty of Medicine and Health Sciences, An Najah National University, Nablus P.O. Box 7, Palestine
Abdulnaser Nour: Faculty of Economics and Social Sciences, An Najah National University, Nablus P.O. Box 7, Palestine
Dóra Endrei: Institute for Health Insurance, Faculty of Health Sciences, University of Pécs, H-7621 Pécs, Hungary
Imre Boncz: Institute for Health Insurance, Faculty of Health Sciences, University of Pécs, H-7621 Pécs, Hungary

IJERPH, 2022, vol. 19, issue 12, 1-29

Abstract: Health care organizations (HCO) did not consider engaging patients in balanced scorecard (BSC) implementations to evaluate their performance. This paper aims to develop an instrument to engage patients in assessing BSC perspectives (BSC-PATIENT) and customize it for Palestinian hospitals. Two panels of experts participated in the item generation of BSC-PATIENT. Translation was performed based on guidelines. Pretesting was performed for 30 patients at one hospital. Then, 1000 patients were recruited at 14 hospitals between January and October 2021. Construct validity was tested through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Additionally, the composite reliability (CR), interitem correlation (IIC), and corrected item total correlation (CITC) were assessed to find redundant and low correlated items. As a result, the scales had a highly adequate model fit in the EFA and CFA. The final best fit model in CFA comprised ten constructs with 36 items. In conclusion, BSC-PATIENT is the first self-administered questionnaire specifically developed to engage patients in BSC and will allow future researchers to evaluate the impact of patient experience on attitudes toward BSC perspectives, as well as to compare the differences based on patient and hospital characteristics.

Keywords: balanced scorecard; patient engagement; satisfaction; hospital; performance evaluation; quality (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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