Instrument for Measuring Perception of Healthcare Service Providers: Development and Validation

  • Mandeep Kaur SRF, PhD, Department of Commerce, Punjabi University, Patiala, India.
  • Baljit Singh Assistant Professor, Postgraduate Department of Commerce & Management, SGTB Khalsa College, Sri Anandpur Sahib, India.
Keywords: Healthcare, Instrument, Service Providers, Content & Face Validity, Infrastructure


Introduction: The accessibility to healthcare services is an absolute
necessity today. The purpose of this article is to create and validate an
instrument for measuring healthcare service providers’ perception which
analyses their level of satisfaction with existing healthcare services’
availability, infrastructure, burden, efficiency of the instruments, and
work environment.
Method: The items were generated from a previous literature review
and were also self-generated by the authors. Content and face validation
were also done by a panel of experts to add/ delete/ modify items
or constructs in the instrument. Statements for the constructs, i.e.
Registration, Diagnosis, Emergency services, Infrastructure, and
Government policies, were presented on a five-point scale.
Results: The instrument’s face validity and content validity met the
necessary criteria. Region-specific suggestions were taken from the
healthcare service providers which would be a significant factor in
improving the healthcare system of the state. It was further developed
and validated in the native language, Punjabi.
Conclusion: The development of this instrument is the first of its kind
to the best of the authors’ knowledge and it consists of all aspects
contributing to the perception of the doctors and nurses about the
healthcare institutions. This instrument would be helpful in determining
the perception of healthcare service providers, i.e., doctors and nursing
staff from different regional areas regarding the healthcare services
and infrastructure availability of the health institutions.

How to cite this article:
Kaur M, Singh B. Instrument for Measuring
Perception of Healthcare Service Providers:
Development and Validation. Chettinad Health
City Med J. 2023;12(4):66-73.



Zamanzadeh V, Ghahramanian A, Rassouli M, Abbaszadeh A, Alavi-Majd H, Nikanfar AR. Design and implementation content validity study: development of an instrument for measuring patient-centered communication. J Caring Sci. 2015;4(2):165-78. [PubMed][Google Scholar]

Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28:563-75. [Google Scholar]

Sireci SG. Gathering and analyzing content validity data. Educ Assess. 1998;5(4):299-321. [Google Scholar]

Amponsah AK, Bam V, Stolt M, Korhonen J, Axelin A. Evaluating the content validity of two versions of an instrument used in measuring pediatric pain knowledge and attitudes in the Ghanaian context. PLoS One. 2020;15(11):e0241983. [PubMed] [Google Scholar]

Deshmukh N, Raj P, Chide P, Borkar A, Velhal G, Chopade R. Job satisfaction among healthcare providers in a tertiary care government medical college and hospital in Chhattisgarh. Cureus. 2023;15(6):e41111. [PubMed] [Google Scholar]

Joseph HB, Ravindran V, Sahoo KC. Occupational satisfaction of public hospital nurses in India: a qualitative explorative study. Florence Nightingale J Nurs. 2023;31(1):42-7. [PubMed] [Google Scholar]

Goula A, Rizopoulos T, Stamouli MA, Kelesi M, Kaba E, Soulis S. Internal quality and job satisfaction in health care services. Int J Environ Res Public Health. 2022;19(3):1496. [PubMed] [Google Scholar]

Connell J, Carlton J, Grundy A, Buck ET, Keetharuth AD, Ricketts T, Barkham M, Robotham D, Rose D, Brazier J. The importance of content and face validity in instrument development: lessons learnt from service users when developing the Recovering Quality of Life measure (ReQoL). Qual Life Res. 2018;27(7):1893-902. [PubMed] [Google Scholar]

Yaghmaie F. Content validity and its estimation. J Med Educ. 2003;3:25-7. [Google Scholar]

Kansra P, Oberoi S, Bhargava C, Sharma PK. Validation of diabetes-related awareness instrument (DRAI) to measure diabetics awareness towards risk factors and prevention strategies. Int J Qual Reliabil Manag. 2022;39(7):1808-23. [Google Scholar]

Yusoff MS. ABC of content validation and content validity index calculation. Educ Med J. 2019;11(2):49-54. [Google Scholar]

Patel N, Desai S. ABC of face validity for questionnaire. Int J Pharm Sci Rev Res. 2020;65:164-8.