紧密型县域医共体卫生服务连续性调查工具的构建研究

Study on the construction of a survey tool for continuity of care in close county medical community

目的构建紧密型县域医共体卫生服务连续性调查工具,为紧密型县域医共体的建设和完善提供实证依据。方法基于“关系连续性、信息连续性、管理连续性”理论框架,使用文献分析法和主题框架分析法编制问卷条目,并于2020年12月对河南省郸城县紧密型县域医共体内就诊250位居民开展问卷调查以评价问卷信效度。结果基于最终纳入的57篇文献,总结提取了8项评价关键要素,初步形成包含10个条目的调查工具,总体Cronbach’sα系数为0.82,信度较好;因子分析结果表明该调查工具的结构效度较好。结论本研究初步构建了具有良好信效度的紧密型县域医共体卫生服务连续性调查工具,可为今后整合型医疗卫生服务体系的评价提供参考。

Objective To construct a survey tool for continuity of care in close county medical community and to provide empirical evidence for the construction and improvement of close county medical community.Methods Based on the theoretical framework of“relationship continuity,information continuity and management continuity”,literature analysis and thematic frame analysis were used to compile questionnaire items.A questionnaire survey was conducted among 250 residents in close county medical community in Dancheng County,He’nan Province in December 2020 to evaluate the reliability and validity of the questionnaire.Results Based on the 57 literatures finally included,eight key elements of evaluation were summarized and extracted,and a survey tool containing ten items was preliminarily formed.The overall Cronbach’sαcoefficient was 0.82,with high reliability.The results of factor analysis showed that the structural validity of this survey tool was good.Conclusion A survey tool for continuity of care in close county medical community with good reliability and validity is preliminarily constructed,which can provide reference for the evaluation of integrated medical and health care system in the future.