DEVELOPMENT AND VALIDATION OF A QUESTIONNAIRE TO ASSESS PATIENT SATISFACTION WITH OUTPATIENT CARE FOR DISEASES OF THE CIRCULATORY SYSTEM

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

1. Adhikary 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.30119

2. Siddique 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.2023.100321

3. Di 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.1288 4. Finucane 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.1405.4682

4. Forouzanfar 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

5. (10010): 2287-2323. https://doi.org/10.1016/S0140-6736(15)00128-2

6. GBD 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)00685-8

7. Panjrath 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.2022.100160

8. Kowalczyk A., Jassem J. Multidisciplinary team care in advanced lung cancer. Transl. Lung Cancer Res. 2020; 9: 1690-1698.

9. 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.

10. 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/10.1177/2048004019862125

11. Streiner D.L., Norman G.R., Cairney J. Health Measurement Scales: A Practical Guide to Their Development and Use. Oxford; 2015: 342.

12. Taberna M., Gil Moncayo F., Jane-Salas E. The Multidisciplinary Team (MDT) approach and quality of care. Front Oncol. 2020; 10: 85.

13. 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_17

14. Vaduganathan 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.2022.11.005

15. Ware 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)90005-8

16. Wuensch K.L. What is a Likert Scale? USA; 2005: 4.

17. Zheng P., Afshin A., Biryukov S. The Burden of Proof studies: assessing the evidence of risk. Nat. Med. 2022; 28: 2038-2044.

18. 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.0000000000001106