Abstract: Objectives: The purpose of the study was to develop and validate a
standardized instrument for measuring patient satisfaction among short-stay
patients. Methods: Item selection was based on qualitative interviews,
literature and own experiences. After pre-testing with short-stay patients from
general hospital care (n=154) a 50-item-version has been tested with patients
from three other hospitals (n=466), including two departments of minor
surgery and medical wards. Results: Item and factor analysis confirmed the
hypothesized dimensions, reliability (Cronbach's α) ranged from
0.57 to 0.87. All sub-scales correlate moderately with health status, cause of
admission and age. Conclusion: Our basic assumption that quality management
needs a specific instrument for short-stay patients had to be modified. The
instrument can be used a) to look at quality differences between short-stay and
long-stay patients, b) to evaluate specific short-stay therapies, as well as c)
to make total quality monitoring easier with more attention to health outcome.
Keywords: Patient satisfaction, quality management, health promotion, short-stay patient, hospital