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KMID : 0387320220320010094
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Korean Journal of Health Policy and Administration
2022 Volume.32 No. 1 p.94 ~ p.106
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Review of Reliability and Validity of Medical Service Experience Survey: Focused on the Differences by Type of Medical Institutions
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Kim Hee-Nyun
Choi Yong-Seok
Moon Seok-Jun
Shin Jeong-Woo
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Abstract
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Background: The efforts to build more “people centered,” “patient centered” health system has been emerging all over the world.
Aligning with it, the Korean government is conducing the survey called “Medical Service Experience Survey (MSES).” There are critics,however, that MSES is not scrutinizing the medical experiences of patients in various healthcare settings. For this reason, this studyaims to perform an empirical analysis of the differences in answers of patients responding to various healthcare settings.
Methods: There are two steps in this study. First, explanatory analysis is conducted to compare the tendency of statisticalconcentration on questionnaires by divided healthcare settings. Second, confirmative analysis is carried out to evaluate the constructvalidity, reliability, and discriminant validity of the questionnaire in each healthcare setting. The raw data of MSES, which wasconducted in 2020 by the Ministry of Health and Welfare in Korea and the Korean Institute for Health and Social Affairs is used.
Results: As a result of exploratory factor analysis for all outpatients, the items were classified into four factors statistically: “doctorexperience,” “nurse experience,” “outpatient service experience,” and “patient satisfaction.” It was confirmed that the reliability ofall factors extracted was secured. However, for patients who visited hospitals, questionnaires related to personal privacy, such as“experiences on medical staffs considering physical exposure” or “experiences related to personal information exposure,” wereanswered in conjunction with items of “nurse experience.” Besides, patients responded that administrative elements of medicalservices, such as “experiences of comfort in medical institutions” and “experiences of satisfactory administrative services,” wererelated to the items of “nurse experience.” The answers of patients who visited traditional medical hospitals and clinics about “doctorexperience” and “nurse experience” were not discerned statistically, and the answers to “doctor experience,” “nurse experience,” and“medical institution experience” were entangled with the responses of patients who visited dental hospitals and clinics. On the otherhand, as a result of the confirmatory factor analysis, it was found that the inquiries of MSES generally had intensive validity.
Conclusion: The collection of objective and scientific data is the prominent component to enlighten the patient-centered healthcaresystem alongside with change of the worldwide paradigm of measuring the healthcare system performance as follows the transitionof perspective of health care from provider-centered to patient-centered. This study empirically shows that the patient experiencecan vary as the healthcare settings. Furthermore, to make an advance in measuring the experience of patients with medical services,this article proposes the deliberate consideration of the different kinds of healthcare settings and articulate design of the survey.
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KEYWORD
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Medical Service Experience Survey, Healthcare settings, Validity and reliability of questionnaire
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