Validation of a Spanish-language scale for evaluating perceived quality of care of medical abortions before 9 weeks gestation
Cabedo-Ferreiro, Rosa Maria (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Vicente-Hernández, Maria-Mercedes (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Manresa, J. M (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Gómez-Masvidal, Miriam (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Montero Pons, Laura (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Reyes-Lacalle, Azahara (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Falguera Puig, Gemma (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)

Data:	2022
Resum:	Spanish Organic Law 2/2010 legalizes abortion within 14 weeks of gestation. Medical abortion with mifepristone and misoprostol is around 97% effective and is offered at primary care centers during the first 9 weeks of gestation. It consists of the administration of 200 mg of mifepristone by a healthcare professional and of the self-administration 800 mg of misoprostol by the patient at home, along with prescribed analgesics. However, the quality of this process as perceived by patients has never been assessed. This study aims to validate a scale designed to assess the perceived quality of the entire process, structure and results of at-home medical abortion. Validation study of a Spanish adaptation of the SERVPERF scale. In total, 289 patients completed a self-administered questionnaire consisting of 26 items previously evaluated by a group of experts. A re-test was performed on 53 of these patients 15 days later to assess interobserver consistency. The highest non-response rate for any single item was 2. 1%. The floor effect was 26% and the ceiling effect did not surpass 83%. The linearly weighted Kappa coefficient was good to excellent, in general. An exploratory factor analysis was performed with Varimax rotation, obtaining a total of 7 dimensions that explain 65. 9% of the variability. The internal consistency (Cronbach's alpha) for all items was 0. 862. This psychometric instrument is valid and reliable for assessing the quality of care of medical abortion. Medical abortion is efficient, effective and eliminates the need for hospital care, anesthesia and surgical risk. However, user satisfaction has yet to be determined. This study offers a validated scale to assess perceived quality of care, their quality experience and person-centered care for abortion as a fundamental part of overall service quality as a fundamental part of overall service quality.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Service quality ; Medical abortion ; Induced abortion ; Satisfaction ; Healthcare quality ; Validation studies
Publicat a:	BMC Women's Health, Vol. 22, Num. 1 (may 2022) , ISSN 1472-6874

DOI: 10.1186/s12905-022-01763-5
PMID: 35643523

10 p, 1.0 MB

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