The importance of patient foodservice satisfactionThe health care industry is becoming increasingly focussed on quality improvement to meet patients' heightened demands for service excellence (Drain 2001). Patient satisfaction measurement is viewed as important in outcomes research and quality improvement efforts, as it provides a formal opportunity for feedback and demonstrates to patients that their opinions are valued by health professionals. Administrators and auditors of health care services are continuously seeking patient-reported outcomes to obtain indications of quality of care and the organisation of services. Meeting and exceeding patient expectations is essential for the provision of quality services. Food and the manner in which it is served often influences patient satisfaction with the entire hospital experience (Gregoire 1994). Establishing predictors of hospital foodservice satisfaction will assist in styling food and its service to meet patient expectations, thus influencing overall patient satisfaction with the hospital stay. A valid and reliable questionnaire is the first step towards understanding the link between patient satisfaction and expectations.
The questionnairesThe Parkside Inpatient Questionnaire (PIQ) contains items rated on a five-point Likert scale from "very poor" to "very good", focussing on the patient's experience during their hospital stay. The section used as part of this study comprised overall ratings for foodservice and additional ratings for courtesy of foodservice staff, flavour and temperature of the food, menu choice and timeliness of meal delivery. Responses were scored from 1 to 5, with 1 representing the least positive response and 5 representing the most positive response.The Wesley Hospital Foodservice Patient Satisfaction Questionnaire (WHFPSQ) has 18 items rated on a fivepoint Likert scale from "always" to "never", an overall rating from "very good" to "very poor" and is specific to hospital foodservice. For comparative purposes, the scoring system for the WHFPSQ was made consistent with the PIQ, that is, 1 representing the least positive and 5 the most positive response for any individual item.