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. 2024 Apr 11:11:23743735241229373.
doi: 10.1177/23743735241229373. eCollection 2024.

Development of a Patient-Reported Experience Measure Tool for Ambulatory Patients With Acute Unexpected Needs: The APEX Questionnaire

Myriam Nadeau  1   2   3 , Dominique Chabot  1 , Mylaine Breton  4 , Jason R Guertin  1   5 , Laurie Harvey Labbé  6 , Danièle Roberge  6 , Gabrielle Lefebvre  7 , Myriam Mallet  8 , Sandrine Beaulieu  1 , Éric Kavanagh  9 , Nathalie Cloutier  3 , Philippe Garant  10 , Lynda Bélanger  3   9 , Samuel Vaillancourt  11 , Tarek Boumenna  1 , Kathryn Bareil  1 , Joanie Savard  1 , David Simonyan  1 , Mahukpe Narcisse Ulrich Singbo  1 , Simon Berthelot  1   2   3
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Development of a Patient-Reported Experience Measure Tool for Ambulatory Patients With Acute Unexpected Needs: The APEX Questionnaire

Myriam Nadeau et al. J Patient Exp. .

Abstract

Background: The aim of this study was to develop a patient-reported experience measure (PREM) for comparing the experience of care received by ambulatory patients with acute unexpected needs presenting in emergency departments (EDs), walk-in clinics, and primary care practices. Methods: The Ambulatory Patient EXperience (APEX) questionnaire was developed using a 5-phase mixed-methods approach. The questionnaire was pretested by asking potential users to rate its clarity, usefulness, redundancy, content and face validities, and discrimination on a 9-point scale (1 = strongly disagree to 9 = strongly agree). The pre-final version was then tested in a pilot study. Results: The final questionnaire is composed of 61 questions divided into 7 sections. In the pretest (n = 25), median responses were 8 and above for all dimensions assessed. In the pilot study, 63 participants were enrolled. Adjusted results show that access, cleanliness, and feeling treated with respect and dignity by nurses and physicians were significantly better in the clinics than in the ED. Conclusion: We developed a questionnaire to assess and compare experience of ambulatory care in different clinical settings.

Keywords: ambulatory care; emergency department; patient experience; patient-reported experience measure (PREM); primary care practices; quality of care.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Workflow of the APEX questionnaire development and testing process.
See this image and copyright information in PMC

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