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

Introduction: 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 practice care.

Objectives: 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 instrument reliable?

Methods: 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 unit.

Results: 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.