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开发和验证一个增强的PERCCI-S (PERCCI-S-Rev) 测量以人为中心的家庭初级保健
Theresa Larsen1,2,3,4, Richard Sawatzky3,5,6, Helle Wijk2,4,7,8
1The Gothenburg Region, Gothenburg, Sweden.
Frontiers in health services
|March 16, 2026
概括
修订后的以人为中心的社区护理清单 - 瑞典版 (PERCCI-S) 提供了更清晰的患者护理见解. 这种更新的工具保持了强大的心理测量特性,用于改进家庭基础初级保健评估.
科学领域:
- 医疗保健质量评估 医疗保健质量评估
- 患者体验测量测量方法
- 心理测量在医疗保健中的作用
背景情况:
- 自2021年以来,以人为中心的社区护理清单 - 瑞典版 (PERCCI-S) 已在瑞典市政当局使用.
- 在最初的PERCCI-S中确定了需要改进的领域,这促使需要进行修订.
- 之前的验证研究建议为修订版本的开发提供了信息.
研究的目的:
- 制定修订后的PERCCI-S,解决实际问题,并纳入先前的建议.
- 为了保持或增强PERCCI-S.的心理测量特性.
- 为了确认在接受家庭初级保健 (HBPC) 患者的测量等价性,包括或不包括额外的社会护理服务.
主要方法:
- 从使用原始PERCCI-S (2023) 的1422名患者和使用修订后的PERCCI-S (2024) 的1204名患者收集的数据.
- 基于用户反和专家建议,开发了修订后的PERCCI-S.
- 通过心理测量分析和项目响应理论进行验证,比较两个版本.
主要成果:
- 修订后的PERCCI-S包括12个项目,重点是伙伴关系,自主性和情感调整.
- 为了更大程度的响应差异化,从四分级转变为七分级的响应量表.
- 心理测量分析支持修订后的尺度结构和跨患者群体的测量等价性,显示出良好的可靠性 (α=0.97) 和降低天花板效应.
结论:
- 修订后的PERCCI-S (PERCCI-S-Rev) 为更好的患者体验评估提供了更好的清晰度和响应选项.
- 更新版本保持了强大的心理测量特性,增强了它在衡量以人为中心的护理中的实用性.
- 测量等价性得到证实,支持其用于接受家庭初级保健的不同患者群体.
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