引用本文: 王小雨,贾玉晟,张金穗,等.居民就医障碍量表编制及信效度分析*[J].中国卫生经济,2023,42(10):4-9.[点击复制] Wang Xiaoyu,Jia Yucheng,Zhang Jinsui,et al.Analysis on the Developing and Testing the Reliability and Validity of the Barriers to Health Care Scale[J].CHINESE HEALTH ECONOMICS,2023,42(10):4-9.[点击复制]
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居民就医障碍量表编制及信效度分析*
王小雨,贾玉晟,张金穗,陈文,胡敏
0
(复旦大学公共卫生学院 上海 200030)
摘要:
目的:开发居民就医障碍量表并验证其信效度,以期认识我国居民就医需求现状,缓解居民就医难题,为改革医疗卫生服务提供理论支持与实证工具。方法:通过文献研究法、半结构化访谈法及专家咨询法等形成量表初稿;采用分层多阶段抽样法开展调研并进行信效度检验分析,对量表进行验证。结果:经分析得到与理论相一致的量表框架结构,共包含 6 个维度及 31 个条目。各因子与总得分的相关系数在 0.783~0.888 (P<0.01),Cronbach’s α系数及折半信度分别为 0.974 和 0.915。结论:就医障碍量表信效度良好,可提供多维度测量需方视角下就医障碍的工具,具有理论及实践价值。
关键词:  居民就医障碍量表  量表编制  信度  效度
DOI:
投稿时间:2023-08-14
基金项目:国家自然科学基金面上项目 (72074049);上海市浦江人才项目 (2020PJC013)
Analysis on the Developing and Testing the Reliability and Validity of the Barriers to Health Care Scale
Wang Xiaoyu,Jia Yucheng,Zhang Jinsui,Chen Wen,Hu Min
(School of Public Health, Fudan University, Shanghai, 200030 , China)
Abstract:
Objective: To develop an instrument for measuring residents’ barriers to health care, and to verify its reliability and validity, so as to provide theoretical support and empirical tools for understanding the current situation of residents’ health care needs in the new era, alleviating residents’health care challenges, and further reforming health care delivery. Methods: The first draft of the scale was developed through literature research, semi-structured interviews, and Delphi method; using a stratified multi-stage sampling method, a survey was conducted , and the scale was validated using reliability test analysis. Results: The frame- work of the scale was consistent with the theory after analysis, including 6 dimensions and 31 entries. The correlation coefficients be- tween each factor and the total score ranged from 0.783 to 0.888 (P<0.01),and the Cronbach’s α coefficients and half-reliability were 0.974 and 0.915, respectively. Conclusion: It developed a good reliability and validity of the barriers to health care scale, which is of theoretical and practical value, and can provide a multidimensional tool for measuring barriers to health care from the de- mand-side perspective.
Key words:  residens’barriers to health care scale  scale development  reliability  validity

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