社区非传染性疾病管理的有效性 (COEN):概念化和测量
Shangzhi Xiong1,2, Gangjiao Zhu1,3, Rahul Malhotra4,5,6
1Global Health Research Centre, Duke Kunshan University, Kunshan, China.
PLOS global public health
|August 14, 2024
概括
一个新的规模,非传染性疾病管理的社区效率 (COEN),已经开发,以评估一个社区的NCD护理能力. 这种经过验证的工具测量了社区NCD管理在五个关键领域.
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
- 社区健康 社区健康
背景情况:
- 在全球范围内,基于社区的非传染性疾病 (NCD) 管理至关重要.
- 现有的工具缺乏评估社区对非传染性疾病管理能力的能力.
- 需要一个标准化的工具来评估社区一级的NCD护理.
研究的目的:
- 构想和开发一个衡量社区非传染性疾病管理效率 (COEN) 的尺度.
- 验证COEN尺度来评估社区在NCD管理方面的准备和能力.
- 为公共卫生研究人员和从业人员提供可靠的工具.
主要方法:
- 通过文献评论,专家采访和德尔菲小组进行概念化.
- 在中国通过两轮社区调查和采访进行规模开发和验证.
- 使用克伦巴赫的alpha,卡帕测试和探索性因子分析进行可靠性和有效性测试.
主要成果:
- 根据自然环境,社会关系,社区资源,卫生服务和居民参与度来构想COEN规模.
- 最初的38项尺度显示了高的内部一致性 (克朗巴赫α=0.86) 和可接受的可靠性.
- 最后一个14项,5因素的COEN尺度显示出良好的可靠性 (Cronbach的alpha=0.79) 和有效性.
结论:
- 社区对非传染性疾病管理的有效性 (COEN) 是评估社区非传染性疾病护理的一个重要概念.
- 科恩尺度是一个可靠的,多领域的工具,用于量化社区NCD管理能力.
- 科恩尺度可以指导未来的NCD公共卫生干预的研究和实践.
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