儿童生活质量库存健康状况分类系统的开发 澳大利亚儿童生活质量库存 4.0 版本 澳大利亚偏好评估的通用核心尺度
Joseph Kwon1, Rakhee Raghunandan2, Son Hong Nghiem3
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, England, UK.
概括
开发了一项新的4项儿科生活质量库存 (PedsQL) 措施,以为澳大利亚儿童提供健康实用设施,帮助做出成本效益决策.
科学领域:
- 卫生经济学与研究成果研究成果
- 儿科健康测量 儿童健康测量
- 心理测量 心理测量 心理测量
背景情况:
- 儿科生活质量库存版本4.0通用核心尺度 (PedsQL GCS) 是儿童健康相关生活质量的综合衡量标准.
- 然而,PedsQL GCS并没有为成本效益分析提供必要的健康实用设施.
- 需要一个更短的版本,适合澳大利亚的公用事业衍生.
研究的目的:
- 开发PedsQL GCS.的缩小项目版本.
- 创建一个可接受健康效用推导的措施.
- 为澳大利亚的成本效益决策提供信息.
主要方法:
- 利用了来自澳大利亚儿童纵向研究和检查点样本的两个队伍的数据.
- 使用探索性和确认性因子分析进行维度评估.
- 使用拉什和经典标准进行心理测量分析,优先考虑项目性能和概念相关性.
主要成果:
- 维度评估没有支持另一个经验结构;分析继续使用原来的4个子尺度.
- 选择了四个项目:"感到疼痛" (身体),"感到悲伤/蓝色" (情感),"其他孩子不是朋友" (社会),和"跟上学业" (学校).
- 这些项目代表了童年运作的关键领域.
结论:
- 已经制定了一个简洁的4项PedsQL测量标准.
- 这种减少的集合,等待进一步的验证,可以从PedsQL GCS.产生健康实用程序.
- 这些发现将支持澳大利亚儿科医疗保健的成本效益决策.
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