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基于偏好的通用措施是否适用于非正式护理人员? 一个心理测量调查
Jan Faller1, Cathrine Mihalopoulos1, Gang Chen2
1Monash University Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
概括
基于偏好的一般措施,如EQ-5D-5L和AQoL-8D适用于非正式的护理人员. 将这些与护理人员特定的工具相结合,可以全面了解护理人员的幸福感和负担.
科学领域:
- 卫生经济学 卫生经济学
- 心理测量 心理测量 心理测量
- 老年学是一门学科.
背景情况:
- 基于偏好的通用措施 (GPBMs) 提高了非正式照顾者与健康相关的生活质量 (HRQoL) 的经济评估的一致性.
- 评估护理人员HRQoL对于理解护理和告知政策的全部影响至关重要.
- 医疗保健医疗管理系统可以促进患者和护理人员质量调整寿命年 (QALYs) 的结合.
研究的目的:
- 评估澳大利亚非正式照顾者中EQ-5D-5L和AQoL-8D的心理表现.
- 探索GPBM与已建立的护理人员相关措施之间的概念关系.
- 确定GPBMs是否适用于捕捉非正式照顾者的HRQoL结果.
主要方法:
- 对500名非正式照顾者的在线调查数据的二次分析.
- 评估GPBM的完成率,上限效应,收有效性,已知组有效性和测试-重新测试可靠性 (EQ-5D-5L,AQoL-8D).
- 探索性因子分析 (EFA) 旨在调查GPBM与护理人员特定工具 (ASCOT-Carer, CarerQol, CES) 之间的概念重叠.
主要成果:
- 在两种GPBM中都观察到高完成率 (>94%) 和没有上限效应.
- 在各个领域中,EQ-5D-5L表现出良好的测试复试可靠性 (ICC=0.825).
- 两种GPBM都与照顾者特定措施有中度的相关性,并根据照顾者的强度和特征对不同群体进行了歧视.
结论:
- EQ-5D-5L和AQoL-8D在心理测量上是正确的,并且可以接受与非正式护理人员一起使用.
- 仪器的选择应与用于测量的特定结构保持一致.
- 利用GPBM和护理人员特定措施,可以全面了解护理人员的福利和负担.
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