Universitas Padjadjaran, Bandung, West Java, Indonesia.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720972587. doi: 10.1177/2150132720972587.
The need for improving knowledge and practice of palliative care delivered by health workers become an agenda in several countries. In order to measure the practice, an instrument is needed. The study analyzed the validity and reliability of the instrument to assess the physician's practice in the management of patients with terminal diseases.
This was a cross-sectional study involving 89 physicians practicing in primary health care. The instrument of practice has been developed and resulted 5 domains consist of 20 items. An overview of reliability, construct validity, uni-dimensionality, and hierarchy of the person-items of the instrument were analyzed using Rasch Model.
The reliability of the instrument is excellent with a person measure reliability of 0.85 and the item measure reliability of 0.96. Construct validity is confirmed with the MNSQ outfit values in the range of 0.54 to 1.59 and Pt Measure Corr. values in the range of 0.31 to 0.8. This instrument has a value of more than 20% unidimensionality which indicates the level of independence for items is good.
The instrument has good validity and reliability to assess physician's practice in the management of patients with terminal disease.
提高卫生工作者提供的姑息治疗知识和实践的需求已成为许多国家的一项议程。为了衡量实践，需要一种工具。本研究分析了该工具评估医生在管理终末期疾病患者方面的实践的有效性和可靠性。
这是一项涉及 89 名在初级保健中执业的医生的横断面研究。实践工具已经开发出来，由 5 个领域组成，共 20 个项目。使用 Rasch 模型分析了工具的人员-项目的可靠性、结构有效性、单维性和层次结构的概述。
该工具的可靠性非常好，人员测量可靠性为 0.85，项目测量可靠性为 0.96。结构有效性得到了确认，MNSQ 成套值在 0.54 到 1.59 之间，Pt Measure Corr. 值在 0.31 到 0.8 之间。该工具具有超过 20%的单维性，表明项目的独立性水平良好。
该工具具有良好的有效性和可靠性，可评估医生在管理终末期疾病患者方面的实践。
