开发和验证美国难民的HealthCare导航能力 (HECNAC) 尺度
Sarah Yeo1, Inseok Lee2, John Ehiri3
1The University of Arizona Cancer Center, Tucson, Arizona, United States of America.
PloS one
|January 30, 2025
概括
一个新的尺度,HealthCare NAvigation Competency (HECNAC) 尺度,被开发来评估难民在美国医疗保健系统中导航的能力. 该工具解决了理解和支持难民获得医疗保健的关键差距.
科学领域:
- 获得医疗保健的机会和差距
- 医疗服务研究 医疗服务研究
- 跨文化健康跨文化健康
背景情况:
- 美国医疗保健系统带来了重大导航挑战,对难民来说,不熟悉,有限的医疗素养和语言障碍加剧了这一挑战.
- 现有的医疗护理导航能力工具往往假定英语水平,未能充分评估难民人口.
- 对于验证的仪器来测量专门针对难民的医疗护理导航技能的需求至关重要.
研究的目的:
- 开发和验证一个文化定制的工具,HealthCare导航能力 (HECNAC) 尺度,以评估难民的医疗导航能力.
- 解决难民医疗护理导航能力测量工具的差距.
- 为改善难民群体获得医疗保健提供基础.
主要方法:
- 一个三阶段的规模开发过程:域名识别 (文献审查,利益相关者采访n = 15),内容验证 (德尔菲方法,2轮,n = 12) 和面部有效性评估 (认知采访,2轮,n = 4).
- 基于文献和采访的初始规模开发 (10个领域,47个项目).
- 专家的共识 (Delphi) 和难民的反 (认知面试) 将规模改进到10个领域和35个项目.
主要成果:
- 根据德尔菲方法,在最初的47项表格中,在39项表格上达成共识.
- 与阿富汗难民进行的认知采访导致完成了健康护理导航能力 (HEalthCare NAvigation Competency,HECNAC) 量表,该量表包括十个领域的35个项目.
- 最终完成的规模涵盖了关键领域:健康系统知识,保险,预约,运输,诊所访问,口译,药物,医疗费用和预防性护理.
结论:
- 医疗护理导航能力 (HealthCare NAvigation Competency,简称HECNAC) 尺度是评估难民在美国医疗护理导航能力的有效工具.
- 这种规模可以为制定有针对性的干预和培训计划提供信息,以减少难民获得医疗保健的障碍.
- 在理解和解决难民群体独特的医疗护理导航需求方面,HECNAC尺度代表了重大进步.
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