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沙特阿拉伯卫生系统私有化的准备情况:组织变革准备度(ROC)量表的翻译与因素分析

Readiness to the privatization of the health system in Saudi Arabia: Translation and factor analysis of Readiness to Organizational change (ROC) scale.

作者信息

Alasiri Ahmed Ali, Zhang Qi

机构信息

Public Health Department, College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia.

Health Science College, Health Science Research, Old Dominion University, Norfolk, Virginia, United States of America.

出版信息

PLoS One. 2025 Jun 2;20(5):e0322406. doi: 10.1371/journal.pone.0322406. eCollection 2025.

DOI:10.1371/journal.pone.0322406
PMID:40455771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12129205/
Abstract

BACKGROUND

The Kingdom of Saudi Arabia (KSA) began a major transformation as a part of version 2030 for its health system. These reform initiatives aim to privatize health services and improve efficiency. Despite this meaningful change, there is a knowledge gap in how healthcare providers prepare for or perceive this shift. Specifically, there has been a lack of validation of Arabic instruments that gauge the individual readiness to this change. This study bridges the gap by localizing and validating the Readiness to Organizational Change scale (ROC) to provide empirical evidence and to understand adaptability for the KSA context.

METHOD

The study aimed to test and validate a tool that can be used to assess the ability of individuals to embrace the change initiatives among healthcare providers. A cross-sectional study was conducted in a public healthcare setting that included allied healthcare providers and physicians and excluded the administration staff. Ethical approval was obtained, and the questionnaire was distributed among participants electronically.

RESULT

There were 296 participants who completed the survey, with (78.0%) being male and they were between 25-35 years old, while the females represented (22%). The majority had less than 10 years' experience and were married (88.2%). The face and content validity showed an excellent result for Arabic context S-CVI/AVE = 0.97. The inter-item correlation revealed a significant value (p < 0.001), which confirmed convergent validity, and Factor analysis assessed the adequacy of sampling (KMO = 0.77). The Exploratory Factor Analysis (EFA) extracted seven factors describing 74.6% of the total Variance, with an adequate value of commonalities for most items.

CONCLUSION

The Arabic version of ROC is a valid and reliable scale for assessing readiness among healthcare providers in the context of KSA. This translated version can provide insightful information and facilitate the transition of the health system in KSA and achieve the healthcare vision of 2030.

摘要

背景

沙特阿拉伯王国(KSA)启动了一项重大变革,作为其医疗系统2030版计划的一部分。这些改革举措旨在实现医疗服务私有化并提高效率。尽管有这一意义重大的变革,但医疗服务提供者如何为这一转变做准备或对此转变的认知方面存在知识空白。具体而言,缺乏对衡量个人对这一变革准备程度的阿拉伯语工具的验证。本研究通过对组织变革准备度量表(ROC)进行本地化和验证来填补这一空白,以提供实证依据并了解沙特阿拉伯王国背景下的适应性。

方法

该研究旨在测试和验证一种可用于评估医疗服务提供者中个人接受变革举措能力的工具。在一个公共医疗环境中进行了一项横断面研究,研究对象包括专职医疗服务提供者和医生,不包括行政人员。获得了伦理批准,并通过电子方式向参与者分发问卷。

结果

有296名参与者完成了调查,其中男性占(78.0%),年龄在25 - 35岁之间,女性占(22%)。大多数人经验不足10年且已婚(88.2%)。表面效度和内容效度在阿拉伯语背景下显示出优异结果,S - CVI/AVE = 0.97。项目间相关性显示出显著值(p < 0.001),证实了收敛效度,因子分析评估了抽样的充分性(KMO = 0.77)。探索性因子分析(EFA)提取了七个因子,描述了总方差的74.6%,大多数项目的共性值足够。

结论

ROC阿拉伯语版本是评估沙特阿拉伯王国背景下医疗服务提供者准备度的有效且可靠的量表。这个翻译版本可以提供有洞察力的信息,并促进沙特阿拉伯王国医疗系统的转型,实现2030年的医疗愿景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a65/12129205/3c059baee2fb/pone.0322406.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a65/12129205/3c059baee2fb/pone.0322406.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a65/12129205/3c059baee2fb/pone.0322406.g001.jpg

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"Are you ready?" Validation of the Hospital Change Readiness (HCR) Questionnaire.
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Organisational change in hospitals: a qualitative case-study of staff perspectives.医院组织变革:基于员工视角的定性案例研究。
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Assessing Organizational Readiness for Change Comment on "Development and Content Validation of a Transcultural Instrument to Assess Organizational Readiness for Knowledge Translation in Healthcare Organizations: The OR4KT".评估组织变革准备度 述评:“开发和内容验证用于评估医疗保健组织知识转化的组织变革准备度的跨文化工具:OR4KT”。
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