title: Patient experience assessment in pediatric hospitals in Argentina.
abstract: OBJECTIVE
  To create a hospital pediatric inpatient experience survey based on the Consumer Assessment of Healthcare Providers and Systems Hospital Survey (CAHPS® Hospital Survey).
  
  
  METHODS
  Survey development based on: (i) Translation and back translation, (ii) Review by experts, (iii) Cultural adaptation: qualitative evaluation of dimensions with reformulation and adaptation of items, (iv) Local cognitive evaluation and (v) Final measurement of its psychometric properties. Inspection, content validity and reliability assessment through internal consistency (Cronbach's alpha coefficient) and inter-item correlation. Factor analysis matrix: extraction, selection and rotation.
  
  
  METHODS
  Two pediatric hospitals in Buenos Aires, Argentina: Hospital de Pediatría 'Garrahan' (HG) and Hospital de Niños 'Ricardo Gutiérrez' (HRG).
  
  
  METHODS
  Parents or caregivers of pediatric patients hospitalized for at least 24 h.
  
  
  RESULTS
  A feasible and easy to administer 21-item instrument was developed. One thousand and thirty-two surveys were analyzed, 630 (61%) in HG and 402 (39%) in HRG. Population: mothers of admitted children were interviewed 85% of the time, 61% (625) had completed minor schooling to high school education; 365 families (35%) had unsatisfied basic needs and 51% (529) did not have health insurance. Reliability: adequate Cronbach's alpha scores were found with correlation 0.7 or higher in most domains. Validity: a direct correlation was observed between overall positive opinion and quality of care perceived with the survey, and an indirect correlation (perceived low quality) with higher level of schooling and health insurance ownership.
  
  
  CONCLUSIONS
  An instrument with adequate psychometric properties was adapted to evaluate patients and families' perceptions of quality of care received during children's hospitalization.
authors: Department of Pediatrics, Pediatric Hospital Juan P Garrahan, Buenos Aires, C1245AAM, Argentina.
authors: Nora
authors: N
authors: Dackiewicz
authors: Department of Pediatrics, Pediatric Hospital Juan P Garrahan, Buenos Aires, C1245AAM, Argentina.
authors: Susana
authors: S
authors: Rodriguez
authors: Institute for Clinical Effectiveness and Health Policy, Buenos Aires, C1414CPV Argentina.
authors: Vilma
authors: V
authors: Irazola
authors: Institute for Clinical Effectiveness and Health Policy, Buenos Aires, C1414CPV Argentina.
authors: Mariela
authors: M
authors: Barani
authors: Department of Pediatrics, Pediatric Hospital Juan P Garrahan, Buenos Aires, C1245AAM, Argentina.
authors: Beatriz
authors: B
authors: Marciano
authors: Department of Pediatrics, Pediatric Hospital Juan P Garrahan, Buenos Aires, C1245AAM, Argentina.
authors: Valeria
authors: V
authors: Fedrizzi
authors: Department of Pediatrics, Pediatric Hospital Juan P Garrahan, Buenos Aires, C1245AAM, Argentina.
authors: Claudia
authors: C
authors: Gonzales
authors: Children's Hospital Ricardo Gutiérrez, Buenos Aires, C1425EFD Argentina.
authors: Christian
authors: C
authors: Elias-Costa
authors: Children's Hospital Ricardo Gutiérrez, Buenos Aires, C1425EFD Argentina.
authors: Ariel
authors: A
authors: Almada
authors: Children's Hospital Ricardo Gutiérrez, Buenos Aires, C1425EFD Argentina.
authors: Bettina
authors: B
authors: Viola
authors: Children's Hospital Ricardo Gutiérrez, Buenos Aires, C1425EFD Argentina.
authors: Silvia
authors: S
authors: Tonini
authors: CEDES, Buenos Aires, C1173AAA Argentina.
authors: Nina
authors: N
authors: Zamberlin
authors: Institute for Clinical Effectiveness and Health Policy, Buenos Aires, C1414CPV Argentina.
authors: Ezequiel
authors: E
authors: Garcia-Elorrio
mesh_terms: D000328:Adult; D001118:Argentina; D017028:Caregivers; D002648:Child; D002675:Child, Preschool; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health; D008297:Male; D010290:Parents; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011594:Psychometrics; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires
keywords: hospitals; pediatric; quality of health care