An evaluation of the QSP and the QPP: two methods for measuring patient satisfaction.
BACKGROUND
Patient satisfaction is a function of several variables addressing reasons why it is important to use methods in which these different factors can be isolated and their importance analysed.


OBJECTIVE
In this project, two methods using this approach were used: the 'Quality from the Patient's Perspective' and the 'Quality, Satisfaction, Performance' models. The aim of the present study is to evaluate these two different methods with respect to application, strengths and weaknesses.


METHODS
In the Quality from the Patient's Perspective model, the patient judges the different domains in two dimensions: perceived reality and subjective importance. The Quality, Satisfaction, Performance model uses a multivariate analysis to capture the patient's priorities. Four hundred and sixty forms for each model were distributed to a random sample of patients at the Department of Obstetrics and Gynecology at Karolinska Hospital.


METHODS
The quality factors 'treatment by the nurse', 'participation', 'information', 'environment' and 'accessibility' were measured.


RESULTS
On both forms, 'medical care', 'treatment by the doctor' and 'access to nursing treatment' received high scores in perceived reality' while 'accessibility' and 'participation' received low scores. 'Subjective importance' measured directly and indirectly, respectively, in the two models showed high values for 'medical care' and 'treatment by the doctor'.


CONCLUSIONS
The advantages of the Quality from the Patient's Perspective model are that it has a comprehensive and solid question bank. The Quality, Satisfaction, Performance model's advantage is its immediate usefulness and its clear graphic presentation. An integration and further development of these two approaches may prove useful.
Nathorst-Böös
J
J
Department of Obstetrics and Gynaecology, Karolinska Institute, Karolinska Hospital, Stockholm, Sweden. jorgen.nathorst-boos@ks.se
Munck
I M
IM
Eckerlund
I
I
Ekfeldt-Sandberg
C
C
D005260:Female; D019538:Health Care Surveys / Q000379:methods*; D006785:Hospitals, University / Q000592:standards; D006801:Humans; D015233:Models, Statistical; D015999:Multivariate Analysis; D009775:Obstetrics and Gynecology Department, Hospital / Q000592:standards*; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013548:Sweden