Institute of Medical Sociology, Health Services Research, and Rehabilitation Science, Faculty of Medicine and University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Cologne, Germany.
Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, USA.
BMC Health Serv Res. 2021 Oct 1;21(1):1036. doi: 10.1186/s12913-021-07067-y.
The commitment of hospital managers plays a key role in decisions regarding investments in quality improvement (QI) and the implementation of quality improvement systems (QIS). With regard to the concept of social capital, successful cooperation and coordination among hospital management board members is strongly influenced by commonly shared values and mutual trust. The purpose of this study is to investigate the reliability and validity of a survey scale designed to assess Social Capital within hospital management boards (SOCAPO-B) in European hospitals.
Data were collected as part of the EU funded mixed-method project "Deepening our understanding of quality improvement in Europe (DUQuE)" from 210 hospitals in 7 European countries (France, Poland, Czech Republic, Germany, Portugal, Spain, and Turkey). The Chief Executive Officers (CEOs) completed the SOCAPO-B scale (six-item survey, numeric scale, 1='strongly disagree' to 4='strongly agree') regarding their perceptions of social capital within the hospital management board. We investigated the factor structure of the social capital scale using exploratory and confirmatory factor analyses. Internal consistency was assessed using Cronbach's alpha, while construct validity was assessed through Pearson's correlation coefficients between the scale items.
A total of 188 hospitals participated in the DUQuE-study. Of these, 177 CEOs completed the questionnaire(172 observations for social capital) Hospital CEOs perceive relatively high social capital among hospital management boards (average SOCAPO-B mean of 3.2, SD = 0.61). The exploratory factor analysis resulted in a 1-factor-model with Cronbach's alpha of 0.91. Pearson's correlation coefficients between the single scale items ranged from 0.48 to 0.68.
The SOCAPO-Bscale can be used to obtain reliable and valid measurements of social capital in European hospital management boards, at least from the CEO's point of view. The brevity of the scale enables it to be a cost-effective and tool for measuring social capital in hospital management boards.
This validation study was not registered.
医院管理者的承诺在投资质量改进（QI）和实施质量改进系统（QIS）的决策中起着关键作用。在社会资本概念方面，医院管理委员会成员之间的成功合作和协调受到共同价值观和相互信任的强烈影响。本研究的目的是调查一种评估医院管理委员会内部社会资本（SOCAPO-B）的调查量表的可靠性和有效性，该量表是在欧洲医院中设计的。
数据是作为欧盟资助的混合方法项目“深化我们对欧洲质量改进的理解（DUQuE）”的一部分从欧洲 7 个国家（法国、波兰、捷克共和国、德国、葡萄牙、西班牙和土耳其）的 210 家医院收集的。首席执行官（CEO）使用 SOCAPO-B 量表（六项目调查，数字量表，1='强烈不同意'至 4='强烈同意'）对其对医院管理委员会内部社会资本的看法进行评分。我们使用探索性和验证性因素分析来研究社会资本量表的因子结构。使用 Cronbach's alpha 评估内部一致性，使用量表项目之间的 Pearson 相关系数评估结构有效性。
共有 188 家医院参与了 DUQuE 研究。其中，177 位首席执行官完成了问卷（社会资本有 172 个观察值）。医院 CEO 认为医院管理委员会的社会资本相对较高（SOCAPO-B 平均得分为 3.2，标准差=0.61）。探索性因素分析得出的 1 因素模型的 Cronbach's alpha 为 0.91。单尺度项目之间的 Pearson 相关系数范围为 0.48 至 0.68。
SOCAPO-B 量表可用于从 CEO 的角度可靠有效地测量欧洲医院管理委员会的社会资本。该量表的简洁性使其成为一种经济有效的医院管理委员会社会资本测量工具。
本验证研究未注册。
