medecolМедицина и экологияMedicine and ecology2305-60452305-6053Карагандинский медицинский университет10.59598/ME-2305-6053-2025-116-3-148-159medecol-1048Research ArticleОРГАНИЗАЦИЯ И ЭКОНОМИКА ЗДРАВООХРАНЕНИЯORGANIZATION AND ECONOMICS OF HEALTHРазработка и валидация анкеты для оценки удовлетворенности пациентов амбулаторной помощью при болезнях системы кровообращенияDEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE TO ASSESS PATIENT SATISFACTION WITH OUTPATIENT CARE FOR DISEASES OF THE CIRCULATORY SYSTEMБлюмЕ. А.BlyumE. A.

100008, г. Караганда, ул. Гоголя, 40

100008, Karaganda c., Gogolya str., 40

info@qmu.kzАмановаД. Е.AmanovaD. Ye.

Дана Ерлановна Аманова 

100008, г. Караганда, ул. Гоголя, 40

100008, Karaganda c., Gogolya str., 40

AmanovaD@qmu.kzМолотов-ЛучанскийВ. Б.Molotov-LuchanskiyV. B.

100008, г. Караганда, ул. Гоголя, 40

100008, Karaganda c., Gogolya str., 40

info@qmu.kzНогальскийА.NogalskiyA.

000288716, г. Люблин, ул. Рацлавицкие, 1

000288716, Lublin, Ratslawicki str., 1

rzecznik.prasowy@umlub.plНАО «Медицинский университет Караганды»КазахстанKaraganda Medical University NC JSCKazakhstanЛюблинский медицинский университетПольшаLublin Medical UniversityPoland20252709202503148159Copyright © Блюм Е.А., Аманова Д.Е., Молотов-Лучанский В.Б., Ногальский А., 20252025Блюм Е.А., Аманова Д.Е., Молотов-Лучанский В.Б., Ногальский А.Blyum E.A., Amanova D.Y., Molotov-Luchanskiy V.B., Nogalskiy A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medecol.qmu.kz/jour/article/view/1048Введение

Введение. Мониторинг удовлетворенности пациентов в системе первичной медико-санитарной помощи, учитывая высокую распространенность болезней системы кровообращения является крайне важным этапом внешней и внутренней оценки качества оказываемых услуг.

Цель

Цель. Разработка и валидация анкеты для оценки удовлетворенности пациентов амбулаторной медицинской помощью в системе первичной медико-санитарной помощи, а также выявление ключевых факторов, влияющих на уровень удовлетворенности.

Материалы и методы

Материалы и методы. Предлагаемая анкета была разработана на основе анализа более 100 международных источников и прошла многоэтапную валидацию, включая экспертную оценку 12 экспертами в области общественного здравоохранения и практической медицины. Оценка надежности была осуществлена с помощью коэффициента альфа Кронбаха для выявления значимых факторов удовлетворенности, проведен факторный анализ.

Результаты и обсуждение

Результаты и обсуждение. Удовлетворенность пациентов напрямую влияет на приверженность лечению и, следовательно, на клинические исходы. Анкета продемонстрировала высокий уровень внутренней согласованности (α=0,89), проведенный факторный анализ подтвердил конструктную валидность представленного опросника. Анкета учитывает региональные особенности здравоохранения Казахстана и может использоваться для оптимизации работы мультидисциплинарных команд.

Выводы

Выводы. Разработанная анкета может стать важным инструментом для улучшения качества амбулаторной помощи и повышения удовлетворенности пациентов.

Introduction

Introduction. Monitoring patient satisfaction in the primary health care system, given the high prevalence of circulatory system diseases, is an extremely important stage in the external and internal assessment of the quality of services provided.

Aim

Aim. Development and validation of a questionnaire to assess patient satisfaction with outpatient medical care in the primary health care system, as well as identification of key factors affecting satisfaction levels.

Materials and methods

Materials and methods. The proposed questionnaire was developed based on the analysis of more than 100 international sources and has undergone multi-stage validation, including peer review by 12 experts in the field of public health and practical medicine. Reliability was assessed using the Cronbach's alpha coefficient to identify significant satisfaction factors, and a factor analysis was performed.

Results and discussion

Results and discussion. Patient satisfaction directly affects treatment adherence and, consequently, clinical outcomes. The questionnaire demonstrated a high level of internal consistency (α=0.89), and the factor analysis confirmed the constructive validity of the questionnaire. The questionnaire takes into account the regional peculiarities of healthcare in Kazakhstan and can be used to optimize the work of multidisciplinary teams.

Conclusions

Conclusions. The developed questionnaire can become an important tool for improving the quality of outpatient care and increasing patient satisfaction.

удовлетворенность пациентовболезни системы кровообращенияполиклиническая помощьанкета пациентамультидисциплинарная группавалидация анкетыpatient satisfactioncirculatory system diseasesoutpatient carepatient questionnairemultidisciplinary groupquestionnaire validationReferencesAdhikary D., Barman S., Ranjan R., Stone H. A Systematic Review of Major Cardiovascular Risk Factors: A Growing Global Health Concern. Cureus. 2022; 14 (10): e30119. https://doi.org/10.7759/cureus.30119Adhikary D., Barman S., Ranjan R., Stone H. A Systematic Review of Major Cardiovascular Risk Factors: A Growing Global Health Concern. Cureus. 2022; 14 (10): e30119. https://doi.org/10.7759/cureus.30119Siddique A., Castleberry A., Thompson J., Yetman A. Should a Multidisciplinary Aortic Team Be Considered Standard in Cardiovascular Medicine? JACC: Advances. 2023; 2 (3): 100321. https://doi.org/10.1016/j.jacadv.2023.100321Siddique A., Castleberry A., Thompson J., Yetman A. Should a Multidisciplinary Aortic Team Be Considered Standard in Cardiovascular Medicine? JACC: Advances. 2023; 2 (3): 100321. https://doi.org/10.1016/j.jacadv.2023.100321Di Cesare M., Perel P., Taylor S., Kabudula C., Bixby H., Gaziano T.A., McGhie D.V., Mwangi J., Pervan B., Narula J., Pineiro D., Pinto F.J. The Heart of the World. Glob. Heart. 2024; 19 (1): 11. doi: https://doi.org/10.5334/gh.1288Di Cesare M., Perel P., Taylor S., Kabudula C., Bixby H., Gaziano T.A., McGhie D.V., Mwangi J., Pervan B., Narula J., Pineiro D., Pinto F.J. The Heart of the World. Glob. Heart. 2024; 19 (1): 11. doi: https://doi.org/10.5334/gh.1288Finucane M.M., Paciorek C.J., Danaei G., Ezzati M. Bayesian Estimation of Population-Level Trends in Measures of Health Status. Stat. Sci. 2014; 29: 18-25. https://doi.org/10.48550/arXiv.1405.4682Finucane M.M., Paciorek C.J., Danaei G., Ezzati M. Bayesian Estimation of Population-Level Trends in Measures of Health Status. Stat. Sci. 2014; 29: 18-25. https://doi.org/10.48550/arXiv.1405.4682Forouzanfar M.H., Alexander L., Anderson H.R. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015; 386 (10010): 2287-2323. https://doi.org/10.1016/S0140-6736(15)00128-2Forouzanfar M.H., Alexander L., Anderson H.R. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015; 386 (10010): 2287-2323. https://doi.org/10.1016/S0140-6736(15)00128-2GBD 2021 Forecasting Collaborators. Burden of disease scenarios for 204 countries and territories, 20222050: a forecasting analysis for the Global Burden of Disease Study 2021. Lancet. 2024; 403 (10440): 2204-2256. https://doi.org/10.1016/S0140-6736(24)00685-8GBD 2021 Forecasting Collaborators. Burden of disease scenarios for 204 countries and territories, 20222050: a forecasting analysis for the Global Burden of Disease Study 2021. Lancet. 2024; 403 (10440): 2204-2256. https://doi.org/10.1016/S0140-6736(24)00685-8Panjrath G.S., Lee J., Geske J.B., Welt F., Thakker P.D., Deswal A., Park K., Mack M.J., Leon M., Lewis S., Holmes D. The Multidisciplinary Heart Team in Cardiovascular Medicine: Current Role and Future Challenges. JACC: Advances. 2023; 2 (1): 100160. https://doi.org/10.1016/j.jacadv.2022.100160Panjrath G.S., Lee J., Geske J.B., Welt F., Thakker P.D., Deswal A., Park K., Mack M.J., Leon M., Lewis S., Holmes D. The Multidisciplinary Heart Team in Cardiovascular Medicine: Current Role and Future Challenges. JACC: Advances. 2023; 2 (1): 100160. https://doi.org/10.1016/j.jacadv.2022.100160Kowalczyk A., Jassem J. Multidisciplinary team care in advanced lung cancer. Transl. Lung Cancer Res. 2020; 9: 1690-1698.Kowalczyk A., Jassem J. Multidisciplinary team care in advanced lung cancer. Transl. Lung Cancer Res. 2020; 9: 1690-1698.Mensah G.A., Roth G.A., Fuster V. The global burden of cardiovascular diseases and risk factors: 2020 and beyond. J. Am. Coll. Cardiol. 2019; 74: 2529-2532.Mensah G.A., Roth G.A., Fuster V. The global burden of cardiovascular diseases and risk factors: 2020 and beyond. J. Am. Coll. Cardiol. 2019; 74: 2529-2532.Ranjan R., Adhikary D., Mandal S., Saha S.K., Hasan K., Adhikary A.B. Performance of EuroSCORE II and logistic EuroSCORE in Bangladeshi population undergoing offpump coronary artery bypass surgery: a prospective cohort study. JRSM Cardiovasc. Dis. 2019; 8: 2048004019862125. https://doi.org/10.1177/2048004019862125Ranjan R., Adhikary D., Mandal S., Saha S.K., Hasan K., Adhikary A.B. Performance of EuroSCORE II and logistic EuroSCORE in Bangladeshi population undergoing offpump coronary artery bypass surgery: a prospective cohort study. JRSM Cardiovasc. Dis. 2019; 8: 2048004019862125. https://doi.org/10.1177/2048004019862125Streiner D.L., Norman G.R., Cairney J. Health Measurement Scales: A Practical Guide to Their Development and Use. Oxford; 2015: 342.Streiner D.L., Norman G.R., Cairney J. Health Measurement Scales: A Practical Guide to Their Development and Use. Oxford; 2015: 342.Taberna M., Gil Moncayo F., Jane-Salas E. The Multidisciplinary Team (MDT) approach and quality of care. Front Oncol. 2020; 10: 85.Taberna M., Gil Moncayo F., Jane-Salas E. The Multidisciplinary Team (MDT) approach and quality of care. Front Oncol. 2020; 10: 85.Tsang S., Royse C.F., Terkawi A.S. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J. Anaesth. 2017; 11 (1): 80-89. https://doi.org/10.4103/sja.SJA_203_17Tsang S., Royse C.F., Terkawi A.S. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J. Anaesth. 2017; 11 (1): 80-89. https://doi.org/10.4103/sja.SJA_203_17Vaduganathan M., Mensah G., Turco J. The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health. JACC. 2022; 80 (25): 2361-2371. 10.1016/j.jacc.2022.11.005Vaduganathan M., Mensah G., Turco J. The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health. JACC. 2022; 80 (25): 2361-2371. 10.1016/j.jacc.2022.11.005Ware J.E. Jr., Snyder M.K., Wright W.R., Davies A.R. Defining and measuring patient satisfaction with medical care. Eval. Program. Plann. 1983; 6 (3-4): 247-63. https://doi.org/10.1016/0149-7189(83)90005-8Ware J.E. Jr., Snyder M.K., Wright W.R., Davies A.R. Defining and measuring patient satisfaction with medical care. Eval. Program. Plann. 1983; 6 (3-4): 247-63. https://doi.org/10.1016/0149-7189(83)90005-8Wuensch K.L. What is a Likert Scale? USA; 2005: 4.Wuensch K.L. What is a Likert Scale? USA; 2005: 4.Zheng P., Afshin A., Biryukov S. The Burden of Proof studies: assessing the evidence of risk. Nat. Med. 2022; 28: 2038-2044.Zheng P., Afshin A., Biryukov S. The Burden of Proof studies: assessing the evidence of risk. Nat. Med. 2022; 28: 2038-2044.Isselbacher E.M., Preventza O., Hamilton Black J. 3rd, Augoustides J.G., Beck A.W., Bolen M.A., Braverman A.C., Bray B.E., Brown-Zimmerman M.M., Chen E.P., Collins T.J., DeAnda A. Jr., Fanola C.L., Girardi L.N., Hicks C.W., Hui D.S., Schuyler Jones W., Kalahasti V., Kim K.M., Milewicz D.M., Oderich G.S., Ogbechie L., Promes S.B., Gyang Ross E., Schermerhorn M.L., Singleton Times S., Tseng E.E., Wang G.J., Woo Y.J. Peer Review Committee Members. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2022; 146 (24): e334-e482. https://doi.org/10.1161/CIR.0000000000001106Isselbacher E.M., Preventza O., Hamilton Black J. 3rd, Augoustides J.G., Beck A.W., Bolen M.A., Braverman A.C., Bray B.E., Brown-Zimmerman M.M., Chen E.P., Collins T.J., DeAnda A. Jr., Fanola C.L., Girardi L.N., Hicks C.W., Hui D.S., Schuyler Jones W., Kalahasti V., Kim K.M., Milewicz D.M., Oderich G.S., Ogbechie L., Promes S.B., Gyang Ross E., Schermerhorn M.L., Singleton Times S., Tseng E.E., Wang G.J., Woo Y.J. Peer Review Committee Members. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2022; 146 (24): e334-e482. https://doi.org/10.1161/CIR.0000000000001106

The authors declare that there are no conflicts of interest present.