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渝东北地区家庭医生签约服务质量评价体系的构建及信效度检验

许忠琴 许红 程春梅 龙江

中国农村卫生事业管理2024,Vol.44Issue(11):776-781,6.
中国农村卫生事业管理2024,Vol.44Issue(11):776-781,6.DOI:10.19955/j.cnki.1005-5916.2024.11.003

渝东北地区家庭医生签约服务质量评价体系的构建及信效度检验

Construction and reliability and validity testing of the quality evaluation system for contracted family doctor services in the northeastern region of Chongqing

许忠琴 1许红 2程春梅 2龙江3

作者信息

  • 1. 重庆市万州区卫生健康服务中心,重庆 404100
  • 2. 重庆医科大学公共卫生学院,重庆 400016
  • 3. 重庆市疾病预防控制中心,重庆 400042||重庆市传染病防控重点学科,重庆 400042
  • 折叠

摘要

Abstract

Objective To set evaluation indicators for the quality of contracted family doctor services,so as to provide reference for a comprehensive evaluation of the service quality.Methods With reference to the Service Quality(SERVQUAL)model,literature analysis and Delphi method were adopted to construct an original scale,which was used for a preliminary survey and the rationality of the original scale was evaluated based on the analysis results of the project.In the formal survey,the total samples were randomized into two equal groups and exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)were conducted to test the reliability and validity of the indicator system.Results Cronbach's α coefficients for expectation and perception in formal survey were 0.88 and 0.90,respectively,and the Spearman Brown coefficients were 0.71 and 0.82,respectively.The cumulative contribution rates of the five common factors extracted from Sample 1 were 54.18%and 55.27%;In sample 2,there was a positive correlation between dimensions and total scores,as well as between dimensions.The fitting indices of each model met the standard.The final evaluation system consisted of 5 primary indicators and 24 secondary indicators.Conclusions The constructed quality evaluation system for contracted family doctor services has good reliability and validity,which can be used as a tool for evaluating the service quality in the north-eastern region of Chongqing.

关键词

家庭医生/签约服务质量/评价体系/信度/效度

Key words

Family doctor/Contracted service quality/Evaluation system/Reliability/Validity

分类

医药卫生

引用本文复制引用

许忠琴,许红,程春梅,龙江..渝东北地区家庭医生签约服务质量评价体系的构建及信效度检验[J].中国农村卫生事业管理,2024,44(11):776-781,6.

基金项目

国家自然科学基金项目(12371503) (12371503)

中国农村卫生事业管理

1005-5916

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