青少年医疗保健措施——满意度、利用率及需求（YHC-SUN）——儿童医疗保健（CHC-SUN）代理测量自我报告版本的开发。
The Youth Health Care measure-satisfaction, utilization, and needs (YHC-SUN)-development of a self-report version of the Child Health Care (CHC-SUN) proxy-measure.
作者信息
Schmidt Silke, Thyen Ute, Herrmann-Garitz Carsten, Bomba Franziska, Muehlan Holger
机构信息
Department Health and Prevention, Institute of Psychology, Ernst-Moritz-Arndt-University of Greifswald, Robert-Blum-Str. 13, 17489, Greifswald, Germany.
Department of Child and Adolescent Medicine, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
出版信息
BMC Health Serv Res. 2016 May 20;16:189. doi: 10.1186/s12913-016-1419-1.
BACKGROUND
The transition of health care of youth (age 15-25) with chronic conditions requires the assessment of adolescents' access, use and needs as well as satisfaction with the health services they use. The aim of this study was to test the adolescent adaptation of the parent version "Child Health Care Questionnaire - Satisfaction, Utilization and Needs" (CHC-SUN) concerning its psychometric performance and appropriateness for adolescents and young adults.
METHODS
The Youth Health Care Measure (YHC-SUN) was designed to allow self-report of youth and it was pilot-tested in a small sample using cognitive debriefing. A cross-sectional survey in a sample of youth with chronic conditions in the transition period was carried out.
RESULTS
One hundred eighty-two ambulatory care patients with three conditions participated in the survey. The subscales of the section on satisfaction with care showed excellent internal consistencies, uni-dimensionality and fit to the model of the parent version. There was no impact of gender and education on satisfaction with care. Associations with age, diagnosis, experiences with care and health literacy affecting the satisfaction with care indicate discriminatory and content validity.
CONCLUSIONS
Potential applications of the new instrument are evaluations of health care services for adolescents and young adults using self-reports and evaluations of transition programs and interventions such as patient education.
背景
患有慢性病的青少年（15 - 25岁）的医疗保健过渡需要评估青少年获得、使用医疗服务的情况及其需求，以及他们对所使用医疗服务的满意度。本研究的目的是测试家长版“儿童医疗保健问卷 - 满意度、利用率和需求”（CHC - SUN）在青少年中的适应性，包括其心理测量性能以及对青少年和青年成人的适用性。
方法
青少年医疗保健量表（YHC - SUN）旨在让青少年进行自我报告，并在一个小样本中通过认知反馈进行了预测试。对处于过渡阶段的患有慢性病的青少年样本进行了横断面调查。
结果
182名患有三种疾病的门诊患者参与了调查。护理满意度部分的子量表显示出极好的内部一致性、单维度性以及与家长版模型的拟合度。性别和教育程度对护理满意度没有影响。与年龄、诊断、护理经历和健康素养相关的因素对护理满意度的影响表明了该量表具有区分效度和内容效度。
结论
新工具的潜在应用包括使用自我报告对青少年和青年成人的医疗保健服务进行评估，以及对过渡项目和干预措施（如患者教育）进行评估。
Zotero 插件