Validity and Reliability of Community Satisfaction Measurement Instrument in Health Care Institution | Sunjaya | Jurnal Kesehatan Prima

Validity and Reliability of Community Satisfaction Measurement Instrument in Health Care Institution

Deni Kurniadi Sunjaya(1*)
(1) Universitas Padjadjaran
(*) Corresponding Author
DOI : 10.32807/jkp.v15i2.647


The Community Satisfaction Survey is mandatory based on Ministry of Administrative and Bureaucratic Reform Regulation number 14 in the year of 2017. An alternative measurement tool has been developed by expanding the measurement items. The research objective was to explore the validity and reliability of public satisfaction instruments in health institutions. The design was non-experimental, with a quantitative and cross sectional approach. The research was carried out in two entities, namely primary health care and hospital. Data collection using the IKM-29 questionnaire. Data processing with Rasch modeling and winsteps application. The results showed that the item reliability at PHC and hospital was 0.95 and 0.97 with Cronbach's alpha 0.95. The separation is more than 3 and the raw variance is more than 40%. In the two entities there are several different misfit items. Item 8 related to the perception of waiting time has a high degree of difficulty and is paradoxical. The results of the analysis show that the instrument is valid and reliable enough to be used as an alternative measurement of community satisfaction in PHC and Hospitals.


Community Satisfaction;Validity,Reliability;Rasch Model


Aljaberi MA, Juni MH, Al-Maqtari RA, Lye MS, Saeed MA, Al-Dubai SAR, et al. Relationships among perceived quality of healthcare services, satisfaction and behavioural intentions of international students in Kuala Lumpur, Malaysia: a cross-sectional study. BMJ Open. 2018;8:e021180.

Andrich D, Marais I. A course in Rasch Measurement Theory: measuring in educational, social and health sciences. Springer. 2019. Pp. 171; 9-10; 192-193.

Bond TG, Fox CM. Applying the Rasch model Fundamental measurement in the human sciences. Third Edition. Routledge Taylor & Francis Group. 2015. Pp. 1-2; 102-107; 2016-272

Che Lah NH, Tasir Z. Measuring reliability and validity of questionnaire on online social presence: a Rasch model analysis. Adv Sci Lett. 2018;24(11):7900-7903.

Chen Q, Beal EW, Okunrintemi V, Cerier E, Paredes A, Sun S, et al. The Association Between Patient Satisfaction and Patient-Reported Health Outcomes. J Patient Exp. 2019;6:201–209.

Christensen KB, Keiner S, Mesbah M. Rasch model in health. John Wiley & Sons, Inc. 2013. Pp.83-84

Cosma SA, Bota M, Fleseriu C, Morgovan C, Valeanu M, Cosma D. Measrung patients’ perception and satisfaction with the Rumanian healtcare system. Sustainability. 2020;12:1612.

Donabedian A, Bashur R. An introduction to quality assurance in health care. Oxford. Oxford University Press. 2003.

Druică E, Mihăilă V, Burcea M, Cepoi V. Combining direct and indirect measurements to assess patients’ satisfaction with the quality of public health services in Romania: uncovering structural mechanisms and their implications. Int J Environ Res Public Health. 2020;17:152.

Endeshaw B. Healthcare service quality measurement models: a review. J Health Res. 2021;35(2):106-117.

Fang J, Liu L, Fang P. What is the most important factor affecting patient satisfaction - a study based on gamma coefficient. Patient Prefer Adherence. 2019;13:515–525.

Imaninda V, Azwar S. Modifikasi patients satisfaction questionnaire short form (PSQ-18) ke dalam Bahasa Indonesia. Gadjah Mada Journal of Pschology. 2016;1(1):8-21.

Ismail NE, Jimam NS, Dapar MLP, Ahmad S. Validation and reliability of healthcare workers’ knowledge, attitude, and practice instrument for uncomplicated malaria by Rasch measurement model. Front Pharmacol. 2020;10:1521.

Yasin RM, Yunus FAN, Rus RC, Ahmad A, Rahim. Validity and reliability learning transfer item using Rasch measurement model. Procedia Soc Behav Sci. 2015;204:212-217.

Manzoor F, Wei L, Hussain A, Asif M, Shah SAI. Patient satisfaction with health care services; an application of physician’s behavior as a moderator. Int J Environ Res Public Health. 2019;16:3318.

Meng R, Li J, Zhang Y, Yu Y, Luo Y, Liu X, et al. Evaluation of patient and medical staff satisfaction regarding healthcare services in Wuhan Public Hospitals. Int J Environ Res Public Health. 2018;15(4):769.

Ng JHY, Luk BHK. Patient satisfaction: concept analysis in the healthcare context. Patient Educ Couns. 2019;102(4):790–796.

Padma P, Rajendran C, Sai LP. A conceptual framework of service quality in healthcare: perspectives of Indian patients and their attendants. Benchmark Int J. 2009;16(2):157-191

Peraturan Menteri Pendayagunaan Aparatur Negara dan Reformasi Brokrasi Republik Indonesia Nomor 14 Taun 2017 Tentang Pedoman Penyusunan Survei Kepuasan Masyarakat Unit Penyelenggaran Pelayanan Publik.

Purcărea T. Creating the ideal patient experience. J Med Life. 2016;9:380–385.

Shabbir A, Malik SA, Malik SA. Measuring patients’ healthcare service quality perceptions, satisfaction and loyaliti in public and private sector hospitals in Pakistan. Int J Qual Reliab Manag. 2016;33:538-557.

Van Zile-Tamsen,C. Using Rasch analysis to inform rating scale development. Research in Higher Education. 2017;58

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