title: Reliability and validity of a new measure of patient satisfaction with out of hours primary medical care in the United Kingdom: development of a patient questionnaire.
abstract: OBJECTIVE
  To develop a reliable, valid measure of patient satisfaction with out of hours care suitable for large scale service evaluation.
  
  
  METHODS
  Focus group meetings and semistructured interviews with patients to identify issues of importance to patients and possible questionnaire items; interviews and two pilot studies to test and identify new questionnaire items; modification or removal of items to eliminate ambiguity and reduce non-response and skewed responses; questionnaire survey of out of hours care.
  
  
  METHODS
  Greater Manchester and Leicester.
  
  
  METHODS
  11 general practice patients participated in the focus groups and 28 in the semistructured interviews; 41 in the preliminary interviews; 41 and 378 in the postal pilots; and 1466 in the survey of out of hours care.
  
  
  RESULTS
  A 32 item questionnaire was developed. Component analysis indicated seven scales (satisfaction with communication and management, doctor's attitude, continuity of care, delay until visit, access to out of hours care, initial contact person, telephone advice) related to overall satisfaction and containing issues identified as important to patients. Levels of reliability were satisfactory, Cronbach's alpha correlation coefficient exceeding 0.60 for all scales.
  
  
  CONCLUSIONS
  A reliable, valid measure of patient satisfaction has been developed, suitable for large scale evaluation of out of hours care.
authors.affiliation: Department of General Practice and Primary Health Care, University of Leicester, Leicester General Hospital.
authors.forename: R K
authors.initials: RK
authors.lastname: McKinley
authors.forename: T
authors.initials: T
authors.lastname: Manku-Scott
authors.forename: A M
authors.initials: AM
authors.lastname: Hastings
authors.forename: D P
authors.initials: DP
authors.lastname: French
authors.forename: R
authors.initials: R
authors.lastname: Baker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001071:Appointments and Schedules; D002648:Child; D003284:Contract Services / Q000458:organization & administration / Q000592:standards*; D005006:Ethnicity; D005194:Family Practice / Q000458:organization & administration / Q000592:standards*; D005260:Female; D006302:Health Services Research / Q000379:methods*; D006792:House Calls; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009551:Night Care / Q000458:organization & administration / Q000592:standards; D017060:Patient Satisfaction; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards; D013996:Time and Motion Studies; D019037:Urban Health Services