发展一个衡量医学和医疗保健学生和提供者之间的医疗不信任的尺度
Hung-Chang Liao1,2, Ya-Huei Wang3,4,5
1Department of Health Policy and Management, Chung Shan Medical University, Taichung, Taiwan.
Journal of multidisciplinary healthcare
|October 30, 2025
概括
这项研究开发并验证了台湾医疗和医疗保健学生和提供者 (MMtS-MHC-SP) 的医疗不信任度表. 该尺度有效地衡量医疗不信任,有助于改善医疗保健系统.
科学领域:
- 医疗保健管理的管理
- 医学教育 医学教育
- 心理测量 心理测量 心理测量
背景情况:
- 缺乏对医疗保健提供者的信任可能导致医疗错误和延迟护理.
- 开发特定环境的工具对于理解和解决医疗不信任至关重要.
研究的目的:
- 开发和验证医学和医疗保健学生和提供者 (MMtS-MHC-SP) 的医疗不信任度量表.
- 为评估台湾医疗不信任提供一个文化相关的框架.
- 为提高对医疗保健系统信任的战略提供信息.
主要方法:
- 对322名参与者进行探索性因素分析 (EFA),以确定潜在因素.
- 对233名参与者进行确认因素分析 (CFA),以验证因子结构.
- 评估心理测量属性,包括有效性和内部一致性.
主要成果:
- 医疗福利法将59项减少到31项,其中包括五个因素:提供者的可信度,医疗保健的可访问性,机构完整性,治疗的合理性和系统可靠性.
- CFA证实了五个因素,31项结构.
- 该尺度表现出良好的内部一致性 (克朗巴赫的α,复合可靠性,麦当劳的 ω系数在0.853到0.982之间),以及足够的收和区分有效性.
结论:
- MMtS-MHC-SP是评估台湾医疗学生和医疗服务提供者对医疗不信任的有效和可靠工具.
- 该尺度可以指导教育干预和政策制定,以培养对医疗保健的信任.
- 调查结果支持管理人员和决策者使用MMtS-MHC-SP来改善医疗保健系统.
更多相关视频
07:32Use of Galvanic Skin Responses, Salivary Biomarkers, and Self-reports to Assess Undergraduate Student Performance During a Laboratory Exam Activity
Published on: February 10, 2016
9.8K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.8K
相关概念视频
Obedience
35.2K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.2K
Barriers 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
Nurses' Legal Responsibilities II
1.2K
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
1.2K
Health 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
Healthcare Associated Infections II: Preventive Measures
3.6K
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...
3.6K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
