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开发和验证日本医疗保健研究的农村指数:修改后的德尔菲研究
Makoto Kaneko1, Takaaki Ikeda2,3, Machiko Inoue4
1Department of Health Data Science, Yokohama City University, Yokohama, Japan kanekom@yokohama-cu.ac.jp.
BMJ open
|June 19, 2023
概括
为了解决医疗保健差异,制定了新的日本农村经济指数 (RIJ). 这个经过验证的指数使用人口密度和医院距离等因素,帮助农村卫生研究.
科学领域:
- 医疗保健研究的研究.
- 农村健康差异 农村健康差异
- 地理健康分析
背景情况:
- 全球农村和城市医疗保健差异需要强大的评估工具.
- 由于日本独特的地理位置,包括偏远的岛屿和农村地区,因此缺乏特定的农村指数.
- 现有的农村指数可能无法捕捉到日本医疗保健获取的细微差别.
研究的目的:
- 为日本 (RIJ) 制定和验证一个全面的农村经济指数.
- 创建一个工具来评估日本农村地区的医疗保健差异.
- 在日本医疗保健研究中建立一个标准化的农村性测量标准.
主要方法:
- 在由医疗保健专业人员和患者组成的专家小组中,采用了经过修改的Delphi方法.
- 调查对100名参与者进行了调查,包括农村医疗保健提供者,地方政府工作人员和居民.
- 使用因子分析和相关性分析来确定指数结构并验证其组件.
主要成果:
- 开发了日本农村指数 (RIJ),结合了四个关键因素:人口密度,距离最近的医院的距离,偏远岛屿的存在以及与天气有关的访问挑战.
- 该指数显示出良好的有效性,在RIJ和医生分布 (-0.45) 和预期寿命 (-0.35男性, -0.12女性) 之间发现了显著的相关性.
- 所有邮政编码的平均RIJ为50.5,为区域比较提供了基线.
结论:
- 该研究成功开发和验证了日本农村性指数 (RIJ).
- 该RIJ是评估农村和其对日本医疗保健的影响的可靠工具.
- 该指数将有助于进一步研究日本农村和城市医疗保健差异.
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