Validity evidence of the Hospital Consumer Assessment of Healthcare Providers and Systems instrument: Brazilian version.
Gislene Aparecida Xavier Reis, Laura Misue Matsuda, Flavio Rebustini and 3 others
PMID 42585451WHAT IT FOUND
The Brazilian Portuguese HCAHPS patient experience survey was not suitable for use.
Items mixed topics, response scales were inconsistent, and it did not measure a clear single patient experience.
Key findings
01Content review removed items 23 to 29, leaving a 22-item Brazilian version.
02In the final patient sample, 13 of the 22 items were excluded to identify a more suitable model.
03The six original HCAHPS areas accounted for 37.9% of the pattern in patient answers, below the 60% reference used in the study.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one hospital in southern Brazil, so the results may not apply to other hospitals. The patient sample was smaller than the size recommended in the literature. The survey was sent by WhatsApp, and patients without WhatsApp contact or no response after three attempts were excluded, so it may not represent all discharged patients. Items with a skip option produced 72.7% missing data, and the response scales were inconsistent. The expert committee did not include psychometricians. Several confirmatory fit indices did not yield results, and McDonald's Omega exceeded the expected range.
The easy way to misread this
Do not conclude that the reduced survey is ready for use. The study did not support the original patient experience areas, many items had to be excluded, and the authors recommended against using this Brazilian version.