确定在提供医疗保健工具时经历的修改障碍的心理测量特性
Tabarak O Alomar1,2, Gillian C Glivar1,2, Eva B Chung1,2
1WWAMI Medical Education Program, School of Health and Medical Professions, University of Idaho, 875 Perimeter Drive MS 4061, Moscow, ID 83844-3020, USA.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
提供最佳护理的障碍 (BPOC-12) 仪器显示了评估农村医疗保健提供者的挑战的初步心理测量有效性. 需要进一步的研究来证实其可靠性和适用于各种医疗保健专业.
科学领域:
- 医疗保健政策和研究
- 医疗服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 农村医疗保健提供者面临患者护理的重大障碍,包括隔离和资源限制.
- 提供医疗保健工具 (BTCPI) 经历的障碍需要验证,因为对其心理特性的担忧.
- 之前对BTCPI仪器的验证工作不足,需要进一步的心理测量评估.
研究的目的:
- 通过确认因素分析,评估"提供最佳医疗服务的障碍"的结构性有效性.
- 为了确定一个更节和心理测量健全的模型来评估医疗保健提供者障碍.
- 进行多组不变性测试,以确保不同供应商组的测量等价性.
主要方法:
- 一项调查分发给了22个临床场所的373名爱达荷州医疗保健提供者.
- 确认因素分析 (CFA),探索结构方程建模 (ESEM) 和探索因素分析 (EFA) 用于评估结构有效性.
- 多组不变性测试检查了跨供应商职业,实践环境和经验的测量等价性.
主要成果:
- 最初的BTCPI模型不符合合适标准.
- 埃塞姆确定了一个14项,9因素模型,但仍然存在担忧.
- 探索性因子分析产生了一个12项,4因子模型 (BPOC-12) 具有初步的心理测量有效性和跨组不变性.
- 在护士和初级保健提供者之间,以及在农村和城市的从业者之间,在障碍因素中发现了显著的差异.
结论:
- 最初的BTCPI仪器没有满足心理测量标准.
- 精细的12项BPOC-12模型证明了初步的心理测量有效性.
- 未来的研究应该在不同的医疗保健专业和环境中验证BPOC-12.
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