Cross-cultural adaptation of the primary health care
					satisfaction questionnaire

Paz, Elisabete Pimenta Araujo; Parreira, Pedro Miguel Santos Dinis; Lobo, Alexandrina de Jesus Serra; Palasson, Rosilene Rocha; Farias, Sheila Nascimento Pereira de

doi:10.1590/1982-0194201400070

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Acta Paulista de Enfermagem

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Original Articles • Acta Paul Enferm. 27 (5) • Sep-Oct 2014 • https://doi.org/10.1590/1982-0194201400070 copy

Cross-cultural adaptation of the primary health care satisfaction questionnaire

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care.

Methods

Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS.

Results

A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties.

Conclusion

The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

Nursing research; Primary care nursing; Public health nursing; Validation studies; Consumer satisfaction; Primary health care

Item	Variables of Satisfaction Scale	Minimum	Maximum	Mean	Standard Deviation
1	Facilities look good	1	7	6.25	1.06
2	Temperature in the facilities is pleasant	1	7	6.06	1.31
3	Facilities are comfortable	1	7	6.13	1.12
4	Facilities are clean	1	7	6.30	1.02
5	Bathrooms are in good hygienic conditions	1	7	5.99	1.23
6	There is sufficient space in the consultation rooms	1	7	6.21	1.16
7	The facilities at the clinic are appropriate for disabled people	1	7	5.63	1.59
8	The services are well signaled	1	7	5.99	1.37
9	The functioning hours are appropriate to your needs	1	7	5.70	1.66
10	At this clinic, there is information about health care	1	7	5.72	1.67
11	The Community Agents are thoughtful	1	7	6.05	1.39
12	The Community Agents take interest in your problems and their solution	1	7	5.85	1.52
13	The Community Agents clearly explain what you have to do	1	7	5.94	1.51
14	One normally waits little to be attended	1	7	5.11	1.80
15	The nurses are thoughtful	1	7	6.11	1.24
16	The nurses take interest in your problems and their solution	1	7	5.94	1.35
17	The nurses do everything they can to solve your problem	1	7	5.87	1.49
18	The nurses clearly explain the treatment you will have to do	1	7	5.97	1.43
19	The nurses are competent in the treatments they give you	1	7	6.01	1.42
20	Normally the nurse is available to treat you	1	7	5.60	1.62
21	The nurses respect the functioning hours	1	7	5.20	1.73
22	Normally, one waits little to be attended	1	7	4.61	1.87
23	The physicians are thoughtful	1	7	6.40	1.15
24	The physicians take interest in your problems and their solution	1	7	6.36	1.15
25	The physicians clearly explain the treatments you will have to get	1	7	6.41	1.12
26	The physicians do everything they can to solve your problem	1	7	6.26	1.26
27	The physicians are competent in the treatments they give you	1	7	6.29	1.27
28	The physicians respect the functioning hours	1	7	5.48	1.79
29	One normally waits little to be attended	1	7	4.76	1.88
30	In general, you feel satisfied with the service at this health unit	1	7	5.70	1.55
31	This health unit corresponds to your needs	1	7	5.70	1.52
32	This health service attends to your expectations	1	7	5.38	1.68
33	This health service is very close to a perfect health service	1	7	4.85	1.85

Item	Scale variables the level of satisfaction	Factors, % explained variance and commonalities
		F1	F2	F3	F4	F5	F6	h²
		20.31%	12.72%	12.57%	10.58%	9.43%	5.20%	h²
17	The nurses do everything they can to solve your problem	0.908						0.911
18	The nurses clearly explain the treatment you will have to do	0.900						0.896
19	The nurses are competent in the treatments they give you	0.899						0.905
16	The nurses take interest in your problems and their solution	0.891						0.861
15	The nurses are thoughtful	0.885						0.860
20	Normally the nurse is available to treat you	0.883						0.858
21	The nurses respect the functioning hours	0.847						0.846
22	Normally, one waits little to be attended	0.798						0.768
24	The physicians take interest in your problems and their solution		0.857					0.858
25	The physicians clearly explain the treatments you will have to get		0.807					0.786
23	The physicians are thoughtful		0.799					0.775
26	The physicians do everything they can to solve your problem		0.798					0.801
27	The physicians are competent in the treatments they give you		0.774					0.753
3	Facilities are comfortable			0.718				0.591
4	Facilities are clean			0.690				0.536
1	Facilities look good			0.658				0.490
2	Temperature in the facilities is pleasant			0.641				0.446
5	Bathrooms are in good hygienic conditions			0.618				0.489
6	There is sufficient space in the consultation rooms			0.582				0.491
7	The facilities at the clinic are appropriate for disabled people			0.578	0.317			0.470
8	The services are well signaled			0.488				0.367
9	The functioning hours are appropriate to your needs		0.306	0.451	0.307			0.411
31	This health unit corresponds to your needs				0.814			0.823
32	This health service attends to your expectations				0.782			0.824
30	In general, you feel satisfied with the service at this health unit				0.773			0.797
33	This health service is very close to a perfect health service				0.734			0.717
10	At this clinic, there is information about health care			0,.15	0.333			0.335
12	The Community Agents take interest in your problems and their solution					0.879		0.802
11	The Community Agents are thoughtful					0.862		0.871
13	The Community Agents clearly explain what you have to do					0.815		0.802
14	One normally waits little to be attended				0.390	0.604		0.593
29	One normally waits little to be attended						0.809	0.821
28	The physicians respect the functioning hours		0.349				0.753	0.815
Cronbach’s Alpha		0.94*	0.94*	0.84*	0.91*	0.88*	0.84*
0.96*			0.94*	0.93*	0.94*	0.93*

Item	Without overlapping of the item	F1	F2	F3	F4	F5	F6
p15	0.785	0.824	0.625	0.588	0.452	0.284	0.428
p16	0.823	0.859	0.635	0.563	0.514	0.330	0.434
p17	0.865	0.896	0.670	0.558	0.530	0.351	0.399
p18	0.840	0.875	0.675	0.543	0.509	0.365	0.406
p19	0.861	0.891	0.679	0.566	0.596	0.439	0.423
p20	0.815	0.860	0.572	0.551	0.586	0.366	0.468
p21	0.765	0.825	0.527	0.490	0.563	0.351	0.642
p22	0.660	0.747	0.460	0.480	0.552	0.387	0.622
p23	0.859	0.653	0.903	0.477	0.492	0.371	0.459
p24	0.890	0.622	0.925	0.464	0.494	0.340	0.471
p25	0.830	0.595	0.880	0.429	0.507	0.338	0.502
p26	0.846	0.623	0.897	0.424	0.549	0.396	0.478
p27	0.818	0.635	0.878	0.459	0.509	0.435	0.466
p1	0.528	0.374	0.308	0.612	0.292	0.263	0.226
p2	0.533	0.388	0.304	0.637	0.299	0.236	0.266
p3	0.631	0.415	0.289	0.705	0.388	0.230	0.300
p4	0.616	0.389	0.290	0.686	0.377	0.323	0.267
p5	0.625	0.448	0.340	0.709	0.386	0.362	0.320
p6	0.591	0.485	0.446	0.676	0.408	0.347	0.299
p7	0.626	0.483	0.324	0.733	0.440	0.343	0.305
p8	0.521	0.494	0.327	0.633	0.408	0.354	0.280
p9	0.523	0.468	0.435	0.656	0.475	0.327	0.340
P10	0.498	0.443	0.345	0.442	0.642	0.396	0.320
P30	0.792	0.604	0.519	0.494	0.857	0.557	0.447
P31	0.818	0.547	0.530	0.473	0.875	0.505	0.486
P32	0.855	0.578	0.535	0.527	0.905	0.506	0.582
P33	0.773	0.464	0.434	0.429	0.856	0.469	0.535
P11	0.776	0.313	0.298	0.360	0.433	0.852	0.185
P12	0.849	0.325	0.331	0.442	0.506	0.906	0.280
P13	0.817	0.444	0.472	0.411	0.515	0.885	0.317
P14	0.679	0.390	0.385	0.399	0.561	0.810	0.392
P28	0.834	0.547	0.524	0.382	0.518	0.297	0.925
P29	0.841	0.540	0.465	0.415	0.559	0.370	0.932

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

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[1] Corresponding author: Elisabete Pimenta Araujo Paz. Afonso Cavalcanti street, 275,. Rio de Janeiro, RJ, Brazil.. Zip Code: 2011-110. bete.paz@gmail.com