开发和验证一个新的综合测量工具,用于医疗保险素养的健康保险素养
Reut Ron1,2, Moriah E Ellen3,4, Paula Feder-Bubis3
1Department of Health Policy and Management, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O.B. 653, Beer-Sheva, 8410501, Israel. rero@post.bgu.ac.il.
BMC health services research
|December 8, 2025
概括
一个新的,全面的医疗保险素养 (HIL) 问卷被开发和验证. 该工具衡量了理解和信心,这对于改善医疗保健获取和利用至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 衡量健康识字能力的方法
- 医疗保险政策 医疗保险政策
背景情况:
- 医疗保险素养 (HIL) 对获得和利用医疗保健至关重要,但当前的测量工具往往不足.
- 现有措施可能缺乏全面性,或无法考虑到特定的文化和国家背景.
- 需要一个强大的,与环境相关的工具来评估个人在医疗保险中导航的能力.
研究的目的:
- 开发和验证用于测量医疗保险素养 (HIL) 的综合问卷.
- 通过增加额外的维度来扩大现有的健康保险识字措施 (HILM).
- 在特定的文化和国家背景下 (以色列) 调整和验证HIL问卷.
主要方法:
- 采用多阶段方法,包括文献审查,专家咨询和试点测试,用于开发问卷.
- 探索性因子分析 (EFA) 和可靠性测试对来自1,012名成年参与者的数据进行.
- 评估了心理测量属性,包括内部一致性,并发有效性和收有效性.
主要成果:
- 创建了一个由75项组成的问卷,评估信心,行为,对保险概念的理解和客观知识.
- EFA证实了强大的多维结构,解释了信心和概念领域的显著差异.
- 观察到高的内部一致性 (克朗巴赫α=0.80-0.95) 和强大的有效性相关性.
结论:
- 经过验证的问卷提供了一个强大的,文化适应的HIL测量,整合客观知识和主观信心.
- 该工具为决策者和教育工作者提供了对HIL多维性质的宝贵见解.
- 这些发现支持有针对性的干预措施,以提高公众对医疗保险的理解和有效使用.
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