中国农村卫生事业管理2025,Vol.45Issue(6):412-419,8.DOI:10.19955/j.cnki.1005-5916.2025.06.006
参保人员异地就医政策受益程度量表编制
Development of the scale for measuring the benefit degree of insured individuals from cross-regional medical treatment policies in China
摘要
Abstract
Objective To develop and validate the scale for measuring benefit degree of insured individu-als from cross-regional medical treatment policies,so as to provide a new tool for the comprehensive evaluation of the benefit perception of the insured.Methods An initial scale was developed through expert consultation and group discussion;390 insured individuals were randomly selected,and exploratory factor analysis and confirmatory factor analysis were used to test the reliability and validity of the scale as well as the weight.Results The scale was composed of 4 dimensions,including policy implementation benefit,service experience benefit,cost benefit and health benefit,and 23 items.The Cronbach's α value of the scale was 0.955,and the coefficients of each di-mension were 0.860,0.878,0.907 and 0.915,respectively.The test-retest confidence value of the split half sample was 0.939.Using confirmatory factor analysis for model fitting,x2/DF was 2.660,RMR was 0.027,and RMSEA was 0.065,indicating that model fitting was good;validity AVE values were 0.586,0.572,0.608,and 0.644,showing that the scale had good convergence reliability.The weights for each dimension were 0.299,0.291,0.208,and 0.203,respectively.Conclusions The developed scale has good reliability and validity,and can be used as an assessment tool to measure the benefits experienced by the insured from the policies of cross-re-gional medical treatment.关键词
参保人员/异地就医/受益程度/量表Key words
Insured individual/Cross-regional medical treatment/Benefit degree/Scale分类
医药卫生引用本文复制引用
蒋逸璠,龚炫,丁英杰,吴群红,石武祥,覃双凌,覃英华..参保人员异地就医政策受益程度量表编制[J].中国农村卫生事业管理,2025,45(6):412-419,8.基金项目
广西高校中青年教师科研基础能力提升项目(2023KY0518) (2023KY0518)
桂林医学院哲学社会科学研究课题(2023SKO01) (2023SKO01)
广西八桂学者"社会医学与卫生事业管理"岗位基金资助项目(2020GXWFSAA57146) (2020GXWFSAA57146)