评估一般医院医生对多元文化环境中的精神病治疗的态度
Inoka Wimalaratne1,2, Jessica McLay3, David B Menkes4
1Department of Psychological Medicine, University of Auckland, Auckland, New Zealand. Inoka.Wimalaratne@monashhealth.org.
BMC research notes
|May 2, 2024
概括
医生对心理健康协作护理的态度 (DACC-MH) 尺度在一项国际研究中显示了局限性. 文化和世代之间的差异影响了医生对心理健康合作的态度.
科学领域:
- 精神病学是一个精神病学.
- 医学教育 医学教育
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一般医院的有效精神病治疗依赖于精神病医生和非精神病医生之间的合作.
- 医生对心理健康协作护理的态度 (DACC-MH) 规模之前在英国 (2010) 得到了验证.
- 在多样化的当代国际环境中,该尺度的适用性仍未得到评估.
研究的目的:
- 使用国际数据确定DACC-MH尺度的有效性和一致性.
- 为了比较尺度的因子结构与最初的英国验证.
- 评估文化和世代因素对医生的态度的影响.
主要方法:
- 进行了确认性和探索性因子分析.
- 来自2021年国际研究 (n=889) 的数据与2010年英国研究数据 (n=225) 相比较.
- 测量不变性被测试为子组比较.
主要成果:
- DACC-MH咨询子量表与国际数据保持一致,但管理子量表没有.
- 最初的2因素模型不适合国际数据,尽管一些适合指数是可以接受的.
- 探索性因子分析建议采用6个因子模型,与最初的2个因子结构不同.
结论:
- DACC-MH尺度在国际应用方面存在重大限制.
- 在医生和外科医生之间发现了复制的态度差异,但没有确定测量不变性.
- 文化和世代差异是影响医生的态度的关键因素,在解决精神病治疗障碍时应考虑这些因素.
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