title: [Development and validation of a questionnaire to measure hospitals' social reputation].
abstract: OBJECTIVE
  To design and validate a questionnaire (MeFio) to measure the social reputation of a hospital from patients' and citizens' perspective.
  
  
  METHODS
  We performed a literature review to define the concept of a hospital's social reputation. Four nominal groups were conducted to set up the a priori factors of the MeFio questionnaire. These groups consisted of 47 managers and health professionals and 32 potential customers. Reactive items were identified and a pilot test was conducted to examine comprehension. A random sample of 385 subjects was selected. Ceiling and floor effects, internal consistency, reliability, and construct and criteria validity were analyzed.
  
  
  RESULTS
  A total of 343 validated questionnaires (response rate 89%) were collected. The MeFio questionnaire has 21 items grouped into five factors. All items had an item-total correlation higher than 0.30. All factor loads were higher than 0.5; between 66.2% and 80.4% of the variance was explained and Cronbach's alpha was 0.7- 0.88. The construct-composite-reliability scores were higher than 0.7. Standardized scores in the convergent discriminant validity test were higher than 0.6. The factors explained 50% of the variability in satisfaction with the health care received (F = 66.5; p <0.001).
  
  
  CONCLUSIONS
  The MeFio questionnaire is a valid and reliable tool to measure the five dimensions that define the reputation of a hospital in Spain.
authors.affiliation: Universidad Miguel Hernández, Elche (Alicante), España.
authors.forename: Isabel María
authors.initials: IM
authors.lastname: Navarro
authors.forename: José Joaquín
authors.initials: JJ
authors.lastname: Mira
authors.forename: Susana
authors.initials: S
authors.lastname: Lorenzo
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006761:Hospitals / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011639:Public Opinion; D011795:Surveys and Questionnaires