在初级保健中开发一种防御医学实践尺度
Mehmet Demir1, İrfan Yurdabakan2, Oğulcan Çöme1
1Department of Family Medicine, Dokuz Eylül University, Balcova, Izmir, 35330, Turkey.
Family practice
|May 10, 2025
概括
一个新的尺度衡量了初级保健中的防御医学实践,解决了家庭医生面临的挑战. 这个工具有助于提高患者安全和资源使用.
科学领域:
- 医疗实践和卫生服务研究研究 医学实践和卫生服务研究
- 心理测量和尺度发展
背景情况:
- 防御医学,包括患者回避和过度干预,在初级保健中很普遍.
- 现有的测量工具往往局限于医院环境,未能捕捉到初级保健的具体挑战.
- 需要一个经过验证的仪器来评估家庭医生的防御医学行为.
研究的目的:
- 开发和验证可靠和特定的尺度来衡量初级保健中防御性医学实践.
- 创建适用于家庭医生和初级保健环境的工具.
主要方法:
- 文献审查,与家庭医生聚焦小组以及专家咨询的规模发展.
- 对来自252名家庭医生和266名家庭医生的数据进行了探索性和确认性因子分析.
- 使用克伦巴赫的alpha和麦当劳的omega来评估可靠性;根据现有规模检查标准有效性.
主要成果:
- 探索性因素分析确定了五个因素结构:转介,投诉,电子报告,暴力和干预程序.
- 最后的21项表格显示了良好匹配指数 (χ2/df=2.43,RMSEA=0.07,CFI=0.93).
- 该尺度显示中等的积极标准有效性 (r=0.350,P<.01) 和高的内部一致性 (克朗巴赫的alpha和麦当劳的omega=0.92).
结论:
- 初级保健防御医学实践量表是初级保健机构的有效和可靠工具.
- 这个尺度提供了对家庭医生防御行为的细微了解.
- 研究结果支持使用这种规模来指导改善护理质量,患者安全和资源效率的干预措施.
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