开发并在伊朗背景下对一个适合老龄化人口的卫生系统评估工具进行心理计量学验证。
Development and psychometric validation of an age-friendly health system assessment tool in the Iranian context.
机构信息
Behavioral Diseases Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Health Management, Policy and Economics. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
Health Res Policy Syst. 2024 Oct 10;22(1):144. doi: 10.1186/s12961-024-01232-5.
Evaluating health system interventions for elderly care necessitates a context-specific, credible and dependable instrument. This research was dedicated to creating and validating a tool to assess the health system's age-friendliness. The study unfolded in two pivotal stages: the generation of items utilizing a hybrid model and the psychometric appraisal of the tool, encompassing both validity and reliability assessments. From an initial pool of 522 items derived from a systematic scoping review and qualitative analysis, a concise assessment tool emerged, featuring 52 items across 6 domains: governance, information, resources, service delivery, community engagement and outcomes. The 52-item tool offers a straightforward, substantiated and robust means to gauge age-friendliness, pinpoint health system deficiencies and facilitate strategic planning on the basis of its insights.
评估老年人护理的卫生系统干预措施需要特定于背景、可信和可靠的工具。本研究致力于创建和验证一种评估卫生系统对老年人友好程度的工具。研究分为两个关键阶段：使用混合模型生成项目和工具的心理计量学评估，包括有效性和可靠性评估。从系统范围审查和定性分析中得出的 522 个初始项目中，出现了一个简洁的评估工具，该工具具有 6 个领域的 52 个项目：治理、信息、资源、服务提供、社区参与和结果。52 项工具提供了一种简单、有根据和强大的方法来衡量对老年人的友好程度，发现卫生系统的缺陷，并根据其见解进行战略规划。
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