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卫生组织和系统可信度尺度的试点评估:可靠性和有效性测试
Andrew Anderson1, Dakota W Cintron2
1Department of Health Policy & Management, Johns Hopkins University, Baltimore, MD, USA. aander86@jh.edu.
BMC health services research
|May 21, 2025
概括
医疗保健组织和系统可信度 (HOST) 尺度可靠地衡量对医疗保健系统的信任. 它显示出强大的有效性,特别是在预测疫苗犹和政府信任方面,超过了医学不信任指数.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
- 公共卫生 公共卫生
背景情况:
- 评估患者对医疗保健系统的信任对于有效的医疗保健服务和公共卫生倡议至关重要.
- 现有的措施可能无法充分捕捉医疗保健组织可信度的多方面的性质.
- 医疗保健组织和系统可信度 (HOST) 尺度是为了弥补这个差距而开发的.
研究的目的:
- 评估HOST尺度的心理测量属性,包括其可靠性,有效性和测量不变性.
- 为了比较HOST尺度的表现与医学不信任指数 (MMI) 的表现.
- 探索HOST尺度在预测各种健康相关结果中的实用性.
主要方法:
- 探索性和确认性因子分析 (EFA/CFA) 用于确定尺度的因子结构.
- 测量不变性测试评估了人口群体 (性别,LGBTQ地位,种族/种族,医疗保健准入) 的规模一致性.
- 通过比较HOST得分与MMI,使用布兰德-阿尔特曼图表,并将它们与七个结果相关联,包括疫苗犹和对政府的信任,来检查并发有效性.
主要成果:
- HOST尺度表现出具有高内部一致性 (α = 0.80) 和与MMI (r = 0.52) 具有强并发有效性的单维结构.
- 在性别,LGBTQ地位和定期获得医疗保健方面证实了标量测量不变性,这表明这些群体的解释一致.
- 与MMI相比,HOST比例表现出更强烈的相关性,与对疫苗相关实体的信任以及各级政府可信度的看法有关.
结论:
- HOST尺度是衡量医疗保健系统可信度的有希望的工具,反映了公平性,能力和未来的期望.
- 它在各种结果中的强大预测有效性突出显示了它在研究和实践中的潜在实用性.
- 建议进一步验证以加强其在解决健康差异和告知公共卫生战略方面的应用.
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