开发和验证医疗保健接入障碍物尺度 (HABS)
Min Hu1,2, Yusheng Jia3,4, Xiaoyu Wang3,5
1Department of Health Economics, Fudan University School of Public Health, Shanghai, China. humin@fudan.edu.cn.
International journal for equity in health
|October 4, 2025
概括
一个新的医疗保健准入障碍尺度 (HABS) 整体地测量了医疗访问前,期间和之后的障碍. 财务限制和缺乏意识是发现的最重要的医疗保健获取障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生公平研究 卫生公平研究
- 测量患者的访问能力.
背景情况:
- 衡量医疗保健接入障碍对于改善医疗服务公平至关重要.
- 现有的工具往往缺乏一个整体的,流程集成的方法来评估障碍.
- 这项研究引入了医疗保健准入障碍量表 (HABS) 进行全面的障碍评估.
研究的目的:
- 开发和验证一种新型仪器,即医疗保健准入障碍量表 (HABS).
- 在整个患者旅程中全面评估医疗保健准入障碍:在医疗访问之前,期间和之后.
- 为了解和解决医疗保健获取系统性障碍提供可靠的工具.
主要方法:
- 对2,009名上海居民进行了横截面调查.
- 该HABS是基于已建立的访问理论开发的.
- 使用探索性和确认性因子分析 (EFA,CFA) 来验证尺度的结构,可靠性和有效性.
主要成果:
- EFA和CFA证实了HABS强大的六要素结构.
- 该尺度表现出强大的可靠性 (克朗巴赫的α = 0.974) 和良好的模型匹配.
- 发现的最重要的障碍是财务限制 (负担不起) 和缺乏意识,这表明成本负担和健康素养差距.
结论:
- 哈布斯是评估城市人口感知到的医疗保健准入障碍的有效和可靠工具.
- 它提供了一种整体的,整合整个护理连续性的过程评估.
- 该HABS可以指导干预和政策,以改善医疗保健准入和公平.
相关概念视频
01:21Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
01:03Data Validation
6.3K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
6.3K
01:14SBAR II: Application of SBAR
5.6K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.6K
01:21Health Literacy
5.2K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
5.2K
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:22Healthcare Associated Infections II: Preventive Measures
3.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K