适应撒哈拉以南非洲的初级保健评估工具:一个验证研究
Robert Mash1, Kefilath Bello2, Innocent K Besigye3
1Division of Family Medicine and Primary Care, Stellenbosch University, Cape Town, South Africa rm@sun.ac.za.
BJGP open
|August 21, 2024
概括
一个新的工具,撒哈拉以南非洲初级保健评估工具 (SSA-PCAT),已被验证用于测量初级保健功能. 该工具将帮助研究人员和政策制定者评估和改善整个地区的医疗保健服务.
科学领域:
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健评估初级医疗保健评估
背景情况:
- 世界卫生组织 (WHO) 制定了初级卫生保健的测量框架,强调核心功能:第一接触访问,全面性,协调性,连续性和以人为中心.
- 最初在美国开发的初级保健评估工具 (PCAT) 被调整为在四个非洲国家使用,以测量这些核心初级保健功能.
研究的目的:
- 专门针对撒哈拉以南非洲 (SSA) 的初级保健评估工具 (PCAT) 进行面部和内容验证.
- 确保PCAT在SSA背景下准确地测量初级医疗保健的核心功能.
主要方法:
- 一项验证研究涉及撒哈拉以南非洲的初级保健和家庭医学 (PRIMAFAMED) 网络中的19个国家.
- 该研究采用了两阶段的方法:一个用于面部有效性评估的PRIMAFAMED研讨会和一个用于专家和利益相关者之间的内容有效性共识的Delphi研究.
主要成果:
- 研讨会导致了修订,包括重新表述了39项,删除了6项,并增加了4项新项目.
- 德尔菲研究在20名小组成员中就项目纳入问题达成共识 (>70%).
- 撒哈拉以南非洲地区最终的初级保健评估工具 (SSA-PCAT) 包含85个项目,评估初级保健设施的附属性,接入,利用,全面性,连续性,协调性,以人为中心以及健康/社会经济状况.
结论:
- 经过验证的SSA-PCAT已经准备好在贝宁,乌干达和南非进行试点测试.
- 进一步的心理测量评估将使区域研究人员,地区管理人员和决策者能够更广泛地采用,以改善初级医疗保健评估.
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