Evaluation of the SCA instrument for measuring patient satisfaction with cancer care administered via paper or via the Internet.
BACKGROUND
Patients' perspectives provide valuable information on quality of care. This study evaluates the feasibility and validity of Internet administration of Service Satisfaction Scale for Cancer Care (SCA) to assess patient satisfaction with outcome, practitioner manner/skill, information, and waiting/access.


METHODS
Primary data collected from November 2007 to April 2008. Patients receiving cancer care within 1 year were recruited from oncology, surgery, and radiation clinics at a tertiary care hospital. An Internet-based version of the 16-item SCA was developed. Participants were randomised to Internet SCA followed by paper SCA 2 weeks later or vice versa. Seven-point Likert scale responses were converted to a 0-100 scale (minimum-maximum satisfaction). Response distribution, Cronbach's alpha, and test-retest correlations were calculated.


RESULTS
Among 122 consenting participants, 78 responded to initial SCA. Mean satisfaction scores for paper/Internet were 91/90 (outcome), 95/94 (practitioner manner/skill), 89/90 (information), and 86/86 (waiting/access). Response rate and item missingness were similar for Internet and paper. Except for practitioner manner/skill, test-retest correlations were robust r = 0.77 (outcome), 0.74 (information), and 0.75 (waiting/access) (all P < 0.001).


CONCLUSIONS
Internet SCA administration is a feasible and a valid measurement of cancer care satisfaction for a wide range of cancer diagnoses, treatment modalities, and clinic settings.
Kamo
N
N
Harvard Medical School, Boston.
Dandapani
S V
SV
Harvard Medical School, Boston.
Miksad
R A
RA
Harvard Medical School, Boston; Division of Hematology/Oncology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston; Department of Radiology, Institute of Technology Assessment, Massachusetts General Hospital, Boston. Electronic address: rmiksad@bidmc.harvard.edu.
Houlihan
M J
MJ
Harvard Medical School, Boston; Division of Breast Surgery, Department of Surgery.
Kaplan
I
I
Harvard Medical School, Boston; Department of Radiation Oncology, Beth Israel Deaconess Medical Center, Boston.
Regan
M
M
Harvard Medical School, Boston; Department of Biostatistics, Dana Farber Cancer Institute, Boston.
Greenfield
T K
TK
Alcohol Research Group, Public Health Institute, Emeryville.
Sanda
M G
MG
Harvard Medical School, Boston; Division of Urology, Department of Surgery, Beth Israel Deaconess Medical Center, Boston, USA.
D000368:Aged; D003625:Data Collection / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D010209:Paper; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011785:Quality Assurance, Health Care