[Adaptation of a patient satisfaction questionnaire on medical and nursing care]. / Adaptación de un cuestionario de satisfacción del paciente con la consulta médica y de enfermería.

OBJECTIVE: Catalan and Spanish adaptation of a questionnaire to measure patient satisfaction with their family doctor and nurse visit. DESIGN: Descriptive study of adapting questionnaires. SETTING: Primary Care Team Gòtic, Institut Català de la Salut, Barcelona, Spain. PARTICIPANTS: Of all the patients visiting doctors or nurses, 1186 patients were systematically selected. Of these, 341 were excluded using the following criteria: illiteracy, not understanding either language, cognitive impairment, sight, or writing disability. MEASUREMENTS: Two translations of the original questionnaire. Analysis of the pattern of response. Exploratory factor analysis. Correlation item-scale corrected coefficients and Cronbach alpha for each dimension. RESULTS: There were 74.8% responses. The percentage of items not answered follows a pattern of declining response. There were 3 dimensions in the factor analysis: care offered by the professional, time devoted to the visit, and depth of the relationship with the professional, where the items weighed the same as in the original questionnaire, except two of them. The item-dimension correlation coefficients were greater than 0.4 except for items number 8 and number 18. The coefficient of internal consistency proved to be greater than 0.7 in all dimensions except in "depth of the relationship," which rises above 0.7 if item number 8 is excluded. CONCLUSION: Adaptation of a valid and reliable questionnaire into Spanish and Catalan is useful for evaluating aspects of the professional care visit.

[What do men between 50 and 70 know about the effectiveness, the benefits, and the risks of prostate cancer screening?]. / Conocen los varones de 50-70 años la efectividad, los beneficios y los riesgos del cribado del cáncer de próstata?

OBJECTIVE: To evaluate the understanding of the population on prostate cancer screening. DESIGN: Descriptive study. SETTING: Primary care teams in the province of Barcelona, Spain, from april to september 2005. PARTICIPANTS AND CONTEXT: Men between 50 and 70 years old without prostate symptoms and seen in the clinics of 12 primary care teams. METHOD: Systematic sample. VARIABLES: age, marital status, educational level, and self-perceived health status. Appraisal of knowledge through a 14-question questionnaire referring to the key ideas, previously defined by a group of experts, requisite before deciding on prostate cancer screening. RESULTS: N=221. Mean age, 59.9 (SD, 5.9); educational level, primary or lower: 63.4%; 89.1% (95% CI, 84.4-92.6) did not have sufficient knowledge about prostate cancer screening. In the questions on what PSA is and what it is for, over 50% said they did not know; 63.3% recognised that prostate cancer was a highly prevalent illness; 84.6% replied that early detection of prostate cancer avoids deaths; 49.8% did not know whether the doctor had doubts on this question; and 38.9% thought he didn't. There were no differences in knowledge for any of the variables studied. CONCLUSIONS: Although prostate cancer screening is widely known about, the information of the population is scant and often wrong. Existing scientific uncertainty on the use of screening is the aspect that is least known by users.