APH 2002, 60, 39-58:
The Flemish version of a new European standardised outcome instrument for measuring patients' assessment of the quality of care in general practice.
W. Peersman, N. Jacobs, J. De Maeseneer and L. Seuntjens
Keywords: patient satisfaction, general practice, health care survey
Patients satisfaction is a concept that is receiving increasing
attention in medical care. It is important that valid and reliable
instru≠ments for obtaining patientsí evaluations are available. The
EUROPEP project developed an internationally standardised instrument
for patientsí evaluations of general practice care. This instrument
consists of a written questionnaire, comprising 23 questions that focus
on patientsí evaluations of a wide range of aspects of general
The purpose of this study is to examine the psychometric
properties of the Flemish version of the EUROPEP instrument. The following specific questions will
be considered: is there sufficient item-response; is there sufficient
response variability; is it possible to discriminate between groups; can
we identify different subdimensions and are the individual items and the
3120 patients visiting 39 general practices were approached
and offered a self-administered questionnaire, including the EUROPEP
instrument. A total of 2545 questionnaires returned to the research
The item response was good or acceptable for most items. We were
confronted with a lack of response variability because of a ceiling-effect.
It is possible to discriminate between groups: older patients reported
higher levels of satisfaction and higher educational attainment is
associated with dissatisfaction. We can identify 5 different
subdimensions. The reliability of the items and of the different
sub-scales is very high.
Conclusion: The EUROPEP instrument can be a valuable instrument in assessing patientsí evaluations of primary health care.