在美国人中获得护理和服务的机会 有或没有残疾的农村退伍军人:全国性研究
Emre Umucu1,2, Teresa Ann Granger3,4, Bryan Weichelt5
1Department of Public Health Sciences, The University of Texas at El Paso, El Paso, TX 79968, USA.
一个新的规模,农村获取护理和服务规模 (RACSS),有效地衡量农村退伍军人的医疗保健获取. 少数民族退伍军人面临更大的障碍,强调需要有针对性的干预措施来改善农村医疗保健提供和减少差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 退伍军人事务 退伍军人事务
背景情况:
- 获得医疗保健对农村退伍军人,特别是那些患有慢性疾病的退伍军人来说是一个重大挑战.
- 关于这一群体面临的具体障碍的研究有限.
- 了解和解决这些障碍对于改善退伍军人的健康结果至关重要.
研究的目的:
- 开发和验证农村获得护理和服务量表 (RACSS) 以评估身体,精神和社会护理的获取.
- 调查少数民族退伍军人是否遇到更大的医疗保健准入障碍.
- 确定RACSS得分与心理社会结果之间的关联.
主要方法:
- 数据是从500名美国农村退伍军人那里收集的,这些退伍军人通过对人口统计,残疾,条件和医疗保健准入的调查.
- RACSS是使用探索性因素分析 (EFA) 和确认性因素分析 (CFA) 开发和验证的.
- 通过克伦巴赫的alpha评估内部一致性;独立的样本t测试探索了少数群体的地位和访问关系.
主要成果:
- RACSS显示出一个强大的一个因素结构,具有出色的模型合适性和高的内部一致性 (α = 0.89).
- 来自少数种族和少数民族的退伍军人报告说,获得医疗保健和服务的困难明显更大.
- 该尺度为评估农村退伍军人人口获得医疗保健的可靠措施.
结论:
- RACCS是衡量农村退伍军人获得医疗保健和服务的验证和可靠工具.
- 调查结果强调,迫切需要有针对性的干预措施,以改善少数群体的农村退伍军人获得机会.
- 加强农村医疗保健提供对于减少健康差距和改善服务不足的退伍军人的结果至关重要.
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