Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan 7;20(1):25.
doi: 10.1186/s12939-020-01370-6.

Validation of the patient-reported experience measure for care in Chinese hospitals (PREM-CCH)

Xuanxuan Wang  1   2 , Jiaying Chen  3   4   5 , Yaling Yang  6 , Bo Burström  7   8 , Kristina Burström  7   8   9
Affiliations

Validation of the patient-reported experience measure for care in Chinese hospitals (PREM-CCH)

Xuanxuan Wang et al. Int J Equity Health. .

Abstract

Background: A psychometrically validated instrument to measure patient experience in Chinese public hospitals would be useful and is currently lacking. Our research team developed the Patient-Reported Experience Measure for Care in Chinese Hospitals (PREM-CCH). We aimed to validate this PREM-CCH in the present study.

Methods: Data were drawn from a cross-sectional patient survey in 2016. Complete responses from 2293 outpatients and 1510 inpatients were included. Separate psychometric evaluation was carried out on outpatient and inpatient PREM-CCHs in terms of exploratory factor analysis, internal consistency, construct validity and criterion validity.

Results: The validated outpatient PREM-CCH contained 22 items and five Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, and Hospital recommendation. The validated inpatient PREM-CCH contained 19 items and six Factors, i.e. Communication and information, Professional competence, Medical costs, Efficiency, Health outcomes, and Hospital recommendation. The PREM-CCH showed satisfactory internal consistency, construct validity and criterion validity.

Conclusions: The PREM-CCH is one of the first validated instruments capturing patient experience of care in the context of Chinese public hospitals. It performed well in the psychometric evaluation. It consists of a basic set of items important to patients that could be applicable to public hospitals in China and actionable to inform quality improvement initiatives.

Keywords: China; Patient experience; Patient-reported experience measure; Psychometric evaluation; Public hospital.

PubMed Disclaimer

Conflict of interest statement

The authors (X.W., J.C., Y.Y., B.B., and K.B.) declare that they have no conflicting interests.

Similar articles

See all similar articles

Cited by

References

    1. Huang J, Dai T. Public hospital reforms in China: the perspective of hospital directors. BMC Health Serv Res. 2019;19:142. doi: 10.1186/s12913-019-3954-z. - DOI - PMC - PubMed
    1. National Health Commission of the People’s Republic of China . China’s health statistics yearbook 2020. Beijing: Peking Union Medical College Press; 2020.
    1. Barber SL, Borowitz M, Bekedam H, Ma J. The hospital of the future in China: China's reform of public hospitals and trends from industrialized countries. Health Policy Plan. 2014;29:367–378. doi: 10.1093/heapol/czt023. - DOI - PubMed
    1. Yip WC, Hsiao WC, Chen W, Hu S, Ma J, Maynard A. Early appraisal of China's huge and complex health-care reforms. Lancet. 2012;379:833–842. doi: 10.1016/S0140-6736(11)61880-1. - DOI - PubMed
    1. Fu H, Li L, Yip WC. Intended and unintended impacts of price changes for drugs and medical services: evidence from China. Soc Sci Med. 2018;211:114–122. doi: 10.1016/j.socscimed.2018.06.007. - DOI - PubMed

Publication types

LinkOut - more resources