Assessing patient experience and attitude: BSC-PATIENT development, translation, and psychometric evaluation—A cross-sectional study

Amer, Faten, Hammoud, Sahar, Onchonga, David, Alkaiyat, Abdulsalam, Nour, Abdulnaser, Endrei, Dóra and Boncz, Imre (2022) Assessing patient experience and attitude: BSC-PATIENT development, translation, and psychometric evaluation—A cross-sectional study. International Journal of Environmental Research and Public Health, 19 (12). ISSN 1660-4601

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Abstract

Health care organizations (HCO) did not consider engaging patients in balanced scorecard (BSC) implementations to evaluate their performance. This paper aims to develop an instrument to engage patients in assessing BSC perspectives (BSC-PATIENT) and customize it for Palestinian hospitals. Two panels of experts participated in the item generation of BSC-PATIENT. Translation was performed based on guidelines. Pretesting was performed for 30 patients at one hospital. Then, 1000 patients were recruited at 14 hospitals between January and October 2021. Construct validity was tested through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Additionally, the composite reliability (CR), interitem correlation (IIC), and corrected item total correlation (CITC) were assessed to find redundant and low correlated items. As a result, the scales had a highly adequate model fit in the EFA and CFA. The final best fit model in CFA comprised ten constructs with 36 items. In conclusion, BSC-PATIENT is the first self-administered questionnaire specifically developed to engage patients in BSC and will allow future researchers to evaluate the impact of patient experience on attitudes toward BSC perspectives, as well as to compare the differences based on patient and hospital characteristics.

Item Type: Article
Additional Information: Correction published on 28 September 2022, see Int. J. Environ. Res. Public Health 2022, 19(19), 12319. Data Availability Statement: The datasets generated and/or analyzed during the current study are not publicly available because the data are still not fully analyzed and the research is still in process but available from the corresponding author (F.A.) upon reasonable request, with the permission of the UNRWA, Palestinian Ministry of Health, and Al Makassed Hospital. Funding: The research was financed by the Thematic Excellence Program 2021 Health Sub-programme of the Ministry for Innovation and Technology in Hungary, within the framework of the EGA-10 project of the University of Pécs. The research was financed by the National Laboratory for Human Reproduction as part of the “Establishment of National Laboratories 2020” program. Data collection expenses were personally funded by F.A.
Uncontrolled Keywords: balanced scorecard,hospital,patient engagement,performance evaluation,quality,satisfaction,public health, environmental and occupational health,pollution,health, toxicology and mutagenesis ,/dk/atira/pure/subjectarea/asjc/2700/2739
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Depositing User: LivePure Connector
Date Deposited: 29 Sep 2025 11:30
Last Modified: 07 Oct 2025 15:32
URI: https://ueaeprints.uea.ac.uk/id/eprint/100498
DOI: 10.3390/ijerph19127149

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