[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.

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

Objetivo. Adaptación al catalán y al castellanode un cuestionario para medir la satisfaccióndel paciente con la consulta de medicina defamilia y de enfermería.Diseño. Estudio descriptivo.Emplazamiento. Equipo de Atención PrimariaGòtic, Institut Català de la Salut, Barcelona.Participantes. Se seleccionan 1.186 pacientessistemáticamente de las consultas médicasy de enfermería. Se excluyen 341 por lossiguientes criterios: analfabetismo, noentender ninguno de los dos idiomas,deterioro cognitivo e incapacidad visualo de escritura.Mediciones principales. Traducción yretrotraducción del cuestionario original.Análisis del patrón de respuesta. Análisisfactorial exploratorio. Coeficientes decorrelación ítem-escala corregidos y alfade Cronbach de cada dimensión.Resultados. Se obtiene un 74,8% derespuestas. El porcentaje de ítems nocontestados sigue un patrón de respuestadecreciente. Del análisis factorial se extraentres dimensiones: cuidados ofrecidos por elprofesional, tiempo dedicado a la consulta yprofundidad de la relación con el profesional,en los que pesan los mismos ítems que en elcuestionario original, excepto en dos de ellos.Los coeficientes de correlación ítemdimensiónhan sido superiores a 0,4 exceptopara el ítem número 8 y para el ítem número18. El coeficiente de consistencia internaresulta ser mayor de 0,7 en todas lasdimensiones excepto en «profundidad dela relación», en la que aumenta por encimade 0,7 si se excluye el ítem número 8.Conclusión. Es una adaptación delcuestionario válida y fiable en castellano ycatalán, útil para la evaluación de los aspectosrelacionados con la consulta del profesionalde atención primaria

Objective. Catalan and Spanish adaptationof a questionnaire to measure patientsatisfaction with their family doctorand nurse visit.Design. Descriptive study of adaptingquestionnaires.Setting. Primary Care Team Gòtic, InstitutCatalà de la Salut, Barcelona, Spain.Participants. Of all the patients visitingdoctors or nurses, 1186 patients weresystematically selected. Of these, 341 wereexcluded using the following criteria:illiteracy, not understanding either language,cognitive impairment, sight, or writingdisability.Measurements. Two translations of theoriginal questionnaire. Analysis of thepattern of response. Exploratory factoranalysis. Correlation item-scale correctedcoefficients and Cronbach alpha for eachdimension.Results. There were 74.8% responses. Thepercentage of items not answered followsa pattern of declining response. There were3 dimensions in the factor analysis: careoffered by the professional, time devoted tothe visit, and depth of the relationship withthe professional, where the items weighedthe same as in the original questionnaire,except two of them. The item-dimensioncorrelation coefficients were greater than 0.4except for items number 8 and number 18.The coefficient of internal consistencyproved to be greater than 0.7 in alldimensions except in “depth of therelationship,” which rises above 0.7 if itemnumber 8 is excluded.Conclusion. Adaptation of a valid and reliablequestionnaire into Spanish and Catalan isuseful for evaluating aspects of theprofessional 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.

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

Objetivo. Valorar los conocimientos de la población sobre el cribado del cáncer de próstata. Diseño. Estudio descriptivo. Emplazamiento. Equipos de atención primaria (EAP) de la provincia de Barcelona, durante el período comprendido entre abril y septiembre de 2005. Participantes y contexto. Participaron varones de 50-70 años de edad atendidos en las consultas de 12 EAP, sin sintomatología prostática. Método. Se realizó una muestra sistemática. Las variables analizadas fueron: edad, estado civil, nivel de estudios y estado de salud autopercibido. Se llevó a cabo una valoración de los conocimientos mediante un cuestionario de 14 preguntas referidas a las ideas clave (previamente definidas por un grupo de expertos) que son necesarias para poder decidir sobre el cribado del cáncer de próstata. Resultados. Se incluyó a 221 varones. Su edad media era de 59,9 años (desviación estándar [DE] = 5,9); el 63,4% tenía un nivel de estudios primario o inferior. El 89,1% (intervalo de confianza del 95%, 84,4-92,6) no tienen conocimientos suficientes sobre el cribado del cáncer de próstata. En las preguntas referentes a qué es y para qué sirve el antígeno prostático específico, más del 50% responde que no lo saben. El 63,3% reconoce que el cáncer de próstata es una enfermedad con una alta prevalencia. El 84,6% responde que la detección precoz del cáncer de próstata evita muertes. El 49,8% no sabe si el médico tiene dudas sobre este tema y el 38,9% cree que no las tiene. No existen diferencias en los conocimientos para ninguna de las variables estudiadas. Conclusiones. A pesar de la amplia extensión del cribado del cáncer de próstata, la información que tiene la población es muy escasa y a menudo errónea. La incertidumbre científica existente sobre la utilidad del cribado es el aspecto más desconocido por los usuarios

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