在国际移民人口中使用卫生初级服务的规模测量
Consuelo Cruz-Riveros1, Alfonso Urzúa1, Carolina Lagos2
1Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile.
概括
这项研究验证了智利国际移民在行使医疗保健权 (EERHC) 的经验. 经过验证的45项四维尺度有效地衡量了初级医疗保健的利用率.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 移民健康 移民健康
背景情况:
- 世界卫生组织 (WHO) 强调了获得医疗保健的权利.
- 国际移民在获得医疗保健方面面临着独特的挑战.
- 评估医疗保健准入需要经过验证的测量工具.
研究的目的:
- 分析健康保健权行使经验 (EERHC) 尺度的内部结构.
- 评估国际移民的EERHC尺度的心理特征.
- 建立一个可靠的仪器来衡量初级医疗保健利用率.
主要方法:
- 这是一项对563名参与者的仪器研究.
- 探索性结构方程建模 (ESEM) 和确认因素分析 (CFA).
- 评估可靠性 (克朗巴赫的α,麦当劳的 ω) 和内部一致性 (项目维度相关性).
主要成果:
- EERHC尺度显示了可接受的心理测量特性 (克朗巴赫的α和麦当劳的ω>0.9).
- 项目尺寸相关性是r ≥ 0.3.3.
- 最终的模型显示了良好的适合指数 (RMSEA = 0.07,CFI = 0.97,TLI = 0.95,SRMR = 0.03).
结论:
- EERHC尺度具有强大的内部结构,包含四个维度的45个项目.
- 经过验证的尺度适用于衡量国际移民中初级医疗保健服务的使用率.
- 研究结果支持在世卫组织框架内使用EERHC尺度来衡量获得医疗保健的权利.
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