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衡量拉丁裔农场工人子女的初级保健:父母对初级保健措施(P3C)认知的信度和效度

Measuring primary care for children of Latino farmworkers: reliability and validity of the parent's perceptions of primary care measure (P3C).

作者信息

Seid Michael, Varni James W

机构信息

RAND Health, Santa Monica, California 90407, USA.

出版信息

Matern Child Health J. 2005 Mar;9(1):49-57. doi: 10.1007/s10995-005-2450-8.

DOI:10.1007/s10995-005-2450-8
PMID:15880974
Abstract

This study evaluates the feasibility, reliability, and validity of the Parent's Perceptions of Primary Care measure (P3C) in an underserved population: children of Latino farm workers. Bilingual research assistants verbally administered the P3C, as well as a measure of child health-related quality of life (HRQL: the PedsQL 4.0) and demographic questions to 297 Latino farm worker parents of young children, in San Diego and Imperial Counties. The P3C was found to be feasible, as measured by a very low percent of missing/do not know values. Internal consistency reliability for the Total Scale and most subscales was strong. The P3C's validity was demonstrated through factor analysis of the subscales, by showing that scores were lower for children without a regular physician and for children experiencing foregone health care, and by demonstrating that P3C scores were related to HRQL. The P3C can be useful to various stakeholders in measuring primary care for vulnerable populations.

摘要

本研究评估了初级保健父母认知量表(P3C)在服务不足人群(拉丁裔农场工人子女)中的可行性、可靠性和有效性。双语研究助理对圣地亚哥县和帝国县的297名拉丁裔农场工人幼儿的父母进行了P3C量表、儿童健康相关生活质量量表(HRQL:儿童生活质量量表4.0版)以及人口统计学问题的口头调查。通过极低的缺失/不知道值百分比衡量,发现P3C是可行的。总量表和大多数子量表的内部一致性可靠性很强。通过对子量表的因子分析,表明没有固定医生的儿童和放弃医疗保健的儿童得分较低,并证明P3C得分与HRQL相关,从而证明了P3C的有效性。P3C在衡量弱势群体的初级保健方面对各类利益相关者可能有用。

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本文引用的文献

1
Crossing the border for health care: access and primary care characteristics for young children of Latino farm workers along the US-Mexico border.跨境寻求医疗服务:美国-墨西哥边境沿线拉丁裔农场工人幼儿的医疗服务可及性及初级医疗特征
Ambul Pediatr. 2003 May-Jun;3(3):121-30. doi: 10.1367/1539-4409(2003)003<0121:ctbfhc>2.0.co;2.
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Connections between quality measurement and improvement.质量测量与改进之间的联系。
Med Care. 2003 Jan;41(1 Suppl):I30-8. doi: 10.1097/00005650-200301001-00004.
3
The health of Latino children: urgent priorities, unanswered questions, and a research agenda.
全球母婴健康。
Matern Child Health J. 2005 Mar;9(1):1-2. doi: 10.1007/s10995-005-2445-5.
拉丁裔儿童的健康:紧迫的优先事项、未解决的问题及一项研究议程。
JAMA. 2002 Jul 3;288(1):82-90. doi: 10.1001/jama.288.1.82.
4
Parents' Perceptions of Primary Care: measuring parents' experiences of pediatric primary care quality.父母对初级保健的认知:衡量父母对儿科初级保健质量的体验
Pediatrics. 2001 Aug;108(2):264-70. doi: 10.1542/peds.108.2.264.
5
PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations.儿童生活质量量表4.0:儿童生活质量量表通用核心量表第4.0版在健康人群和患者群体中的信度与效度。
Med Care. 2001 Aug;39(8):800-12. doi: 10.1097/00005650-200108000-00006.
6
Well child care in the United States: racial differences in compliance with guidelines.美国的健康儿童照护:遵循指南方面的种族差异
Am J Public Health. 2000 Sep;90(9):1436-43. doi: 10.2105/ajph.90.9.1436.
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