为加拿大的中国移民制定卫生系统识字指标:调整HLS-19-NAV尺度
Anh Thu Vo1,2, Ying Cao2, Lixia Yang2,3
1Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL A1B 3V6, Canada.
Healthcare (Basel, Switzerland)
|October 16, 2025
概括
一个新的加拿大卫生系统识字量表 (HSL-CAN) 对中国移民进行了验证. 该工具有助于评估和改进加拿大医疗保健系统的移民导航.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生识字 卫生识字
- 移民健康 移民健康
背景情况:
- 医疗系统的识字对于移民进入加拿大医疗保健至关重要.
- 了解加拿大的移民健康系统导航是有限的.
- 需要一个经过验证的工具来评估移民的医疗系统素养.
研究的目的:
- 为加拿大环境 (HSL-CAN) 调整和验证卫生系统识字量表.
- 在加拿大的中国移民人口中评估HSL-CAN的心理特征.
主要方法:
- 在加拿大对中国移民 (30岁以上) 进行的横截面在线调查.
- 适应欧洲卫生识字人口调查 (HLS19-NAV) 和翻译成中文.
- 内容有效性,探索性和确认性因子分析 (EFA/CFA),可靠性和有效性测试 (融合,歧视,已知组).
主要成果:
- 在HSL-CAN中,通过一因素模型 (CFA合适指数:CFI=0.960,TLI=0.955,SRMR=0.033,RMSEA=0.025) 证明了良好的结构有效性.
- 该尺度显示强大的内部可靠性 (克朗巴赫的α=0.81;复合可靠性=0.812).
- HSL-CAN与医疗保健结构高度相关,并在人口统计和健康变量中显示出显著的已知群体有效性.
结论:
- HSL-CAN是第一个验证的工具,用于评估加拿大中华人口的医疗系统素养.
- 该尺度具有强大的有效性和可靠性,适合研究和实践.
- 建议进一步精细化以更广泛地适用于加拿大普通人口.
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