Cruz-Riveros Consuelo, Urzúa Alfonso, Lagos Carolina
Escuela de Psicología, Universidad Católica del Norte, Antofagasta 1270709, Chile.
Escuela de Enfermería, Universidad Santo Tomás, Sede Santiago, Santiago 8370003, Chile.
Eur J Investig Health Psychol Educ. 2023 May 12;13(5):850-860. doi: 10.3390/ejihpe13050064.
In this article, we analyze the internal structure of the scale for experience in exercising the right to health care (EERHC), based on the focus from the World Health Organization (WHO) on the right to health care, from the perspective of international migrants, in Chile. The methodology was an instrumental study ( = 563) conducted to analyze the psychometric properties of the EERHC scale. Its reliability and internal consistency were evaluated, while the exploratory structural equation modeling (ESEM) model and confirmatory factor analysis (CFA) were used to identify the structure of relationships between the variables measured. The item-dimension correlations obtained present levels of r ≥ 0.3, and the Cronbach's α and McDonald's ω presented ranges >0.9, considered to be acceptable on all models. Results: the model was selected for presenting a good fit index χ = 24,850, df = 300, = 0.000; RMSEA = 0.07; CFI = 0.97; TLI = 0.95; and SRMR = 0.03. The evidence obtained lets us conclude that the scale has forty-five items and four dimensions. The findings demonstrate a good internal structure and are useful to measure primary health care service utilization based on the framework.
在本文中,我们基于世界卫生组织(WHO)对医疗保健权的关注重点,从国际移民的角度,分析了智利医疗保健权行使经验量表(EERHC)的内部结构。研究方法是一项工具性研究(n = 563),旨在分析EERHC量表的心理测量特性。评估了其信度和内部一致性,同时使用探索性结构方程模型(ESEM)和验证性因素分析(CFA)来确定所测量变量之间的关系结构。得到的项目-维度相关性呈现出r≥0.3的水平,Cronbach's α和McDonald's ω呈现出大于0.9的范围,在所有模型中均被认为是可接受的。结果:所选模型呈现出良好的拟合指数χ = 24,850,df = 300,p = 0.000;RMSEA = 0.07;CFI = 0.97;TLI = 0.95;SRMR = 0.03。获得的证据使我们得出结论,该量表有45个项目和四个维度。研究结果表明该量表具有良好的内部结构,并且在该框架下可用于衡量初级卫生保健服务的利用情况。