Development and Validation of the Resident Healthcare-Seeking Culture Scale (RHCS) Among Chinese Demographics in the Community Setting.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S462808

Hongbin Xu, Jie Feng, Lei Qiu, Shijiao Yan, Liqing Li, Qingfeng Tian, Yan He, Zuxun Lu

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Abstract

Objective: This study aimed to develop a measurement scale with good reliability and validity to assess the reasonableness of resident healthcare-seeking culture.

Methods: This investigation utilized a cross-sectional research design, employing a multi-stage random sampling technique to select adult inhabitants aged eighteen and above who possess fundamental literacy abilities. An online survey was conducted from March to April 2021 across 27 provinces in China, encompassing 911 questionnaires for scale development. This study primarily applied discriminant coefficients and exploratory factor analysis to refine the scale items. Scale reliability was assessed using Cronbach's alpha, and split-half reliability. Scale validity was determined through content validity and structural validity. Data analysis was performed using SPSS 21.0, and structural equation modeling was executed with AMOS 23.0 software. Statistical significance was defined at P<0.05.

Results: The Resident Healthcare-seeking Culture Scale (RHCS) ultimately comprised 5 dimensions and 20 items. The cumulative explained variance of the five common factors within this scale amounts to 55.24%, satisfactorily adhering to the established criterion of social science research that the extracted factors should explain between 50% and 60% of the total variance. The Cronbach's alpha coefficient for the total scale was 0.83. Split-half reliability was 0.87. The Pearson correlation coefficients associating the scores from the five dimensions with the overall scale score were 0.78, 0.65, 0.65, 0.64, and 0.42, respectively, all statistically significant with P-values less than 0.001. The results of confirmatory factor analysis suggested that RMR=0.045, GFI=0.952, AGFI=0.936, PGFI=0.712, NFI=0.917, IFI=0.944, TLI=0.931, CFI = 0.943, and RMSEA = 0.046.

Conclusion: The measurement scale for healthcare-seeking culture among Chinese residents exhibits superior reliability and validity, serving as an effective instrument for hospital administrators to evaluate the reasonableness of demand-side healthcare culture.

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社区环境中华裔居民医疗保健需求文化量表（RHCS）的开发与验证。

目的：本研究旨在开发一个具有良好信度和效度的测量量表，以评估居民医疗文化的合理性：本研究旨在制定一个具有良好信度和效度的测量量表，以评估居民就医文化的合理性：方法：本研究采用横断面研究设计，采用多阶段随机抽样技术，选取具有基本文化素养的 18 岁及以上成年居民作为调查对象。2021 年 3 月至 4 月，在全国 27 个省份进行了在线调查，共发放问卷 911 份，用于量表开发。本研究主要采用判别系数和探索性因子分析来完善量表项目。量表信度采用 Cronbach's alpha 和分半信度进行评估。量表的效度通过内容效度和结构效度来确定。数据分析使用 SPSS 21.0 进行，结构方程建模使用 AMOS 23.0 软件。统计显著性定义为 PResults：居民医疗保健寻求文化量表（RHCS）最终由 5 个维度和 20 个项目组成。该量表中五个共同因子的累计解释方差为 55.24%，完全符合社会科学研究的既定标准，即提取的因子应解释总方差的 50%至 60%。总量表的 Cronbach's alpha 系数为 0.83。分半信度为 0.87。五个维度得分与总量表得分之间的皮尔逊相关系数分别为 0.78、0.65、0.65、0.64 和 0.42，P 值均小于 0.001，具有统计学意义。确证因素分析结果表明，RMR=0.045，GFI=0.952，AGFI=0.936，PGFI=0.712，NFI=0.917，IFI=0.944，TLI=0.931，CFI=0.943，RMSEA=0.046：中国居民就医文化测量量表具有良好的信度和效度，可作为医院管理者评价就医文化合理性的有效工具。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.