An evaluation of the QSP and the QPP: two methods for measuring patient satisfaction

Background. Patient satisfaction is a function of several variables address ing reasons why it is important to use methods in which these different fac tors can be isolated and their importance analysed. Objective. In this project, two methods using this approach were used: the 'Quality from the Patient's Perspective' and the 'Quality Satisfaction, Per formance' models. The aim of the present study is to evaluate these two dif ferent methods with respect to application, strengths and weaknesses. Design. In the Quality from the Patient's Perspective model, the patient ju dges the different domains in two dimensions: perceived reality and subject ive importance. The Quality;, Satisfaction, Performance model uses a multiv ariate analysis to capture the patient's priorities. Four hundred and sixty forms for each model were distributed to a random sample of patients at th e Department of Obstetrics and Gynecology at Karolinska Hospital. Main measures. The quality factors 'treatment by the nurse', 'participation ', 'information', 'environment' and 'accessibility' were measured. Results. On both forms,'medical care','treatment by the doctor' and 'access to nursing treatment' received high scores in 'perceived reality' while 'a ccessibility' and 'participation' received low scores. 'Subjective importan ce' measured directly and indirectly respectively in the two models showed high values for 'medical care' and 'treatment by the doctor'. Conclusion. The advantages of the Quality from the Patient's Perspective mo del are that it has a comprehensive and solid question bank. The Quality, S atisfaction, Performance model's advantage is its immediate usefulness and its clear graphic presentation. An integration and further development of t hese two approaches may prove useful.