中国全科医学2018，Vol.21Issue(7)：841-846,6.DOI:10.3969/j.issn.1007-9572.2018.07.018
我国社区居家养老医疗服务满意度量表的构建及信效度研究
Development, Reliability and Validity of the Evaluation Scale for Satisfaction with Community-based Home Care for the Elderly
摘要
Abstract
Objective To develop an evaluation scale for the satisfaction with community-based home care for the elderly and examine its reliability and validity. Methods We developed the theoretical framework of Evaluation Scale for Satisfaction with Community-based Home Care for the Elderly (ESSCHCE) using SERVQUAL and theories about customer experience and formulated the initial ESSCHCE based on reviewing the related literature, expert consultation, and pilot study. From March to September, 2016, 738 elderly people from Tianjin were sampled for a questionnaire survey with the initial ESSCHCE by convenience sampling, and 2 weeks later, 30 of whom were randomly selected for re-examination. Item analysis of the scale was performed with critical ratio method, Pearson correlation coefficient. Exploratory factor analysis, confirmatory factor analysis, Cronbach's α, split-half reliability coefficient and test-retest reliability coefficient were used to evaluate the reliability and validity of the scale. Results The final scale consists of 8 dimensions (preventive care, consultation environment, management capabilities, doctor-patient trust, professional techniques, service attitude, diagnosis and treatment efficiency and equipment for diagnosis and treatment) and 34 items. Exploratory factor analysis revealed that the extracted 8 common factors explained 70.509% of the total variance. Confirmatory factor analysis showed that, the fitting degree of the model is good (χ2/df=1.481, GFI=0.894, AGFI=0.854, CFI=0.978, TLI=0.971, NFI=0.905, IFI=0.935, RMSEA=0.040). Cronbach's α:0.709-0.945 for subscales, and 0.973 for the total scale.Split-half reliability coefficient: 0.724-0.907 for subscales, and 0.902 for the total scale. Test-retest reliability coefficient: 0.799-0.888 for subscales, and 0.899 for the total scale. Conclusion The contents of the ESSCHCE meet the requirement of psychometrics with good discrimination, reliability and validity, which can be used as a tool for assessing the satisfaction with community-based home care for the elderly.关键词
社区卫生服务/居家养老/满意度/信度/效度Key words
Community health services/Elderly home care/Satisfaction/Reliability/Validity分类
医药卫生引用本文复制引用
刘璟莹,杨继鹏,刘彦慧..我国社区居家养老医疗服务满意度量表的构建及信效度研究[J].中国全科医学,2018,21(7):841-846,6.基金项目
2014年国家社科基金资助项目(14BSH124) （14BSH124）
