FURTHER VALIDATION OF A NEW QUESTIONNAIRE TO MEASURE SATISFACTION WITH MEDICAL CARE IN PATIENTS WITH ATRIAL FIBRILLATION (SAFUCA) IN SPAIN
Author(s)
Ruiz MA1;Villasante F2;González-Porras JR3;Franco E4;Aranguren JL5;Tuñón JL6;González-López TJ7;De Salas-Cansado M8;Collados C*8;Pardo A9, Soto J8
1Autonoma University, Madrid, Spain, 2José Marvá, Madrid, Spain, 3Universitary Hospital of Salamanca, Salamanca, Spain, 4San Carlos Hospital, Madrid, Spain, 5Clínica Madrid, Madrid, Fuenlabrada, Spain, 6Universidad Autónoma de Madrid, Madrid, Spain, 7Hospital Universitario de Burgos, Burgos, Spain, 8Pfizer S.L.U, Alcobendas,, Spain, 9Universidad Autonoma de Madrid, Madrid, Spain
OBJECTIVES: To assess convergent and divergent validity of a new questionnaire (SAFUCA) developed to measure satisfaction with medical care in patients with non valvular atrial fibrillation. METHODS: The 25-item reduced version instrument was administered along with the Treatment Satisfaction Questionnaire for Medication (TSQM), and 5 Visual Analog Scales (VAS) measuring: Health Related Quality of Life (HRQoL), Effectiveness and Overall Satisfaction assessed by the patient; and Effectiveness and Tolerability assessed by the clinician. A convenience sample of 230 patients recruited at 7 health centers (5 hospitals and 2 primary care centers) in Spain was used. Second Order Exploratory Factor Analysis (SO-EFA) and correlation with VAS scales were computed. RESULTS: SAFUCA dimensions correlated (p<0.001) higher with corresponding TSQM dimensions (e.g.: Effectiveness r=0.450, Convenience r=0.457, Undesired Effects r=-0.340, Overall satisfaction r=0.651), while SO-EFA made evident differences regarding the assessment of satisfaction with INR controls, interference in QoL and Medical Care. Correlation pattern between VAS scores was significantly different between primary care centers and hospitals, with a higher correlation between patient and clinician scores observed in primary care (e.g.: Effectiveness rPC=0.430 vs. rH=0.057). Similarly, correlation patterns between VAS concurrent scales and SAFUCA dimensions differed between center types. While high correlations between Effectiveness dimension and patient satisfaction VAS were observed in both cases (rPC=0.521 vs. rH=0.516), correlation of Tolerability with Undesired Effects differed between centers (rPC=-0.474 vs. rH=-0.085). CONCLUSIONS: The 25-item questionnaire exhibits good convergent and divergent validity values. Differences between types of health care centers in correlation patterns were meaningful and worth of further research.
Conference/Value in Health Info
2013-11, ISPOR Europe 2013, The Convention Centre Dublin
Value in Health, Vol. 16, No. 7 (November 2013)
Code
PCV133
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Cardiovascular Disorders, Respiratory-Related Disorders
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