Assessment of interpersonal communications between doctors and patients in a military hospital: factor analysis of the hcahps survey
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1
Post-graduate student of Public Health with Medical and Labor Examination, Poltava State Medical University, Ukraine
2
Chief of Department of Public Health with Medical and Labor Examination, Poltava State Medical University, Ukraine
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Assossiate Professor of Departmant of Public Health with Medical, Poltava State Medical University, Ukraine
Submission date: 2025-06-02
Acceptance date: 2025-11-04
Publication date: 2026-01-30
Corresponding author
Maksym Viktorovich Khorosh
Assossiate Professor of Departmant of Public Health with Medical, Poltava State Medical University, Ukraine
Wiadomości Lekarskie 2026;(1):184-195
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ABSTRACT
Aim:
The aim of the study was to assess interpersonal communication between doctors and patients in a military hospital using factor analysis of the HCAHPS questionnaire.
Material and methods:
A cross-sectional study was conducted, during which military personnel who were undergoing inpatient treatment in Poltava and Kremenchuk hospitals were surveyed. The HCAHPS questionnaire consists of 21 individual-level questions that are presented as 8 hospital-level indicators to reflect specific aspects of the healthcare experience. The process of extracting factors from the correlation matrix using principal component analysis led to the identification of factors. Factors were removed until then, regardless of whether the factor's influence on the variance was significant or not.
Results:
The percentage of variance is the largest in the first factor – 36.566%. The higher the percentage of variance, the greater the weight of this factor. Therefore, the first factor has the largest percentage of loading. The cumulative percentage accumulated to the last factor is 69.351, which indicates an appropriate factor solution. Factor analysis allowed us to identify 4 main components that determine the main features of patient satisfaction with medical care: "Responsibility for one's health", "Adherence to treatment", "Deontology" and "Mercy".
Conclusions:
Based on the fact that patient satisfaction with care is a predictor of his future behavior regarding the attitude towards treatment, it can be stated that all the established components are extremely important for further obtaining a positive result of the patient's recovery. Therefore, organizational work aimed at improving the established predictors is of great importance for the organization of medical care.