{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T20:08:44Z","timestamp":1762459724257,"version":"3.40.5"},"reference-count":50,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T00:00:00Z","timestamp":1560211200000},"content-version":"unspecified","delay-in-days":161,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423619000094_abs1\" sec-type=\"general\">\n\t    <jats:title>Aim<\/jats:title>\n\t    <jats:p>Patients\u2019 experience of the quality of care received throughout their continuum of care can be used to direct quality improvement efforts in areas where they are most needed. This study aims to establish validity and reliability of the Healthcare Access and Patient Satisfaction Questionnaire (HAPSQ) \u2013 a tool that collects patients\u2019 experience that quantifies aspect of care used to make judgments about quality from the perspective of the Alberta Quality Matrix for Health (AQMH).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423619000094_abs2\" sec-type=\"general\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>The AQMH is a framework that can be used to assess and compare the quality of care in different healthcare settings. The AQMH provides a common language, understanding, and approach to assessing quality. The HAPSQ is one tool that is able to assess quality of care according to five of six AQMH\u2019s dimensions.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423619000094_abs3\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>This was a prospective methodologic study. Between March and October 2015, a convenience sample of patients presenting with chronic full-thickness rotator cuff tears was recruited prospectively from the University of Calgary Sport Medicine Centre in Calgary, Alberta, Canada. Reliability of the HAPSQ was assessed using test\u2013retest reliability [interclass correlation coefficient (ICC)&gt;0.70]. Validity was assessed through content validity (patient interviews, floor and ceiling effects), criterion validity (percent agreement &gt;70%), and construct validity (hypothesis testing).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423619000094_abs4\" sec-type=\"general\">\n\t    <jats:title>Findings<\/jats:title>\n\t    <jats:p>Reliability testing was completed on 70 patients; validity testing occurred on 96 patients. The mean duration of symptoms was three years (SD: 5.0, range: 0.1\u201329). Only out-of-pocket utilization possessed an ICC&lt;0.70. Patients reported that items were relevant and appropriate to measuring quality of care. No floor or ceiling effects were present. Criterion validity was reached for all items assessed. <jats:italic>A priori<\/jats:italic> hypotheses were confirmed. The HAPSQ represents an inexpensive, reliable, and valid approach toward collecting clinical information across a patient\u2019s continuum of care.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423619000094","type":"journal-article","created":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T03:05:24Z","timestamp":1560222324000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["Validation of a tool to assess patient satisfaction, waiting times, healthcare utilization, and cost"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1735-8642","authenticated-orcid":false,"given":"Breda H.","family":"Eubank","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark R.","family":"Lafave","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas G.","family":"Mohtadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Sheps","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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