Quality assessment of abortion care from the users’ perspective: dimensional structure of the QualiAborto-Pt questionnaire

• Autor(a) principal: Estela M. L. Aquino
• Data de Publicação: 2020
• Outros Autores: Michael Reichenheim, Greice M. S. Menezes, Thália Velho Barreto de Araújo, Maria Teresa Seabra Soares Britto e Alves, Sandra Valongueiro Alves, Maria-da-Conceição C. Almeida
• Tipo de documento: Artigo
• Idioma: eng; por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7349
• topic: Induced Abortion; Health Services Research; Surveys and Questionnaires; Reproducibility of Results; Women’s Health; Aborto Induzido; Pesquisa sobre Serviços de Saúde; Inquéritos e Questionários; Reprodutibilidade dos Testes; Saúde da Mulher

Abortion complications are a major public health problem, and studies to assess the quality of abortion care require adequate measurement tools. This study is a continuation of such an instrument’s refinement, the QualiAborto-Pt questionnaire. Using data from a survey of 2,336 women hospitalized for abortion complications in 19 hospitals in three state capitals in Northeast Brazil (Salvador - Bahia, Recife - Pernambuco, and São Luís - Maranhão), we implemented a series of exploratory and confirmatory factor analyses based on a 55-item prototype. The analyses indicate a structure with 17 items in five dimensions: reception, orientation, inputs/physical environment, technical quality, and continuity of care. All the items in the final model displayed acceptable reliability, absence of content redundancy, and factor specificity, as well as theoretical consistency with the respective dimensions. The solution also shows discriminant factor validity. Despite some persistent issues for further analysis and clarification, this version merits recommendation for use in Brazil.