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验证一种用于评估医疗保健专业人员对异步远程医疗服务看法的简短问卷:健康最佳远程医疗接受问卷的加泰罗尼亚语版本。

Validation of a Short Questionnaire to Assess Healthcare Professionals' Perceptions of Asynchronous Telemedicine Services: The Catalan Version of the Health Optimum Telemedicine Acceptance Questionnaire.

机构信息

Health Promotion in Rural Areas Research Group, Gerència Territorial de la Catalunya Central, Institut Català de la Salut, 08272 Sant Fruitós de Bages, Spain.

Unitat de Suport a la Recerca de la Catalunya Central, Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina, 08272 Sant Fruitós de Bages, Spain.

出版信息

Int J Environ Res Public Health. 2020 Mar 25;17(7):2202. doi: 10.3390/ijerph17072202.

Abstract

Telemedicine is both effective and able to provide efficient care at a lower cost. It also enjoys a high degree of acceptance among users. The Technology Acceptance Model proposed is based on the two main concepts of ease of use and perceived usefulness and is comprised of three dimensions: the individual context, the technological context and the implementation or organizational context. At present, no short, validated questionnaire exists in Catalonia to evaluate the acceptance of telemedicine services amongst healthcare professionals using a technology acceptance model. This article aims to statistically validate the Catalan version of the EU project Health Optimum telemedicine acceptance questionnaire. The study included the following phases: adaptation and translation of the questionnaire into Catalan and psychometric validation with construct (exploratory factor analysis), consistency (Cronbach's alpha) and stability (test-retest) analysis. After deleting incomplete responses, calculations were made using 33 participants. The internal consistency measured with the Cronbach's alpha coefficient was good with an alpha coefficient of 0.84 (95%, CI: 0.79-0.84). The intraclass correlation coefficient was 0.93 (95% CI: 0.852-0.964). The Kaiser-Meyer-Olkin test of sampling showed to be adequate (KMO = 0.818) and the Bartlett test of sphericity was significant (Chi-square 424.188; gl = 28; < 0.001). The questionnaire had two dimensions which accounted for 61.2% of the total variance: quality and technical difficulties relating to telemedicine. The findings of this study suggest that the validated questionnaire has robust statistical features that make it a good predictive model of healthcare professional's satisfaction with telemedicine programs.

摘要

远程医疗既有效又能以更低的成本提供高效的护理。它也在用户中获得了高度认可。所提出的技术接受模型基于易用性和感知有用性这两个主要概念,由三个维度组成:个人背景、技术背景和实施或组织背景。目前,加泰罗尼亚地区没有简短、经过验证的问卷来评估医疗保健专业人员对远程医疗服务的接受程度,使用的是技术接受模型。本文旨在统计验证欧盟项目 Health Optimum 远程医疗接受问卷的加泰罗尼亚语版本。该研究包括以下阶段:将问卷翻译成加泰罗尼亚语并进行心理测量学验证,构建(探索性因素分析)、一致性(Cronbach's alpha)和稳定性(测试-重测)分析。在删除不完整的回复后,使用 33 名参与者进行了计算。使用 Cronbach's alpha 系数测量的内部一致性较好,alpha 系数为 0.84(95%置信区间:0.79-0.84)。组内相关系数为 0.93(95%置信区间:0.852-0.964)。Kaiser-Meyer-Olkin 抽样检验显示充分(KMO = 0.818),Bartlett 球形检验显著(卡方 424.188;gl = 28; < 0.001)。问卷有两个维度,占总方差的 61.2%:与远程医疗相关的质量和技术困难。这项研究的结果表明,经过验证的问卷具有稳健的统计特征,是医疗保健专业人员对远程医疗计划满意度的良好预测模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b393/7178015/3f16f5909381/ijerph-17-02202-g001.jpg

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