测量对少数民族患者的态度:针对毕业医护人员的 REMP-3 工具的重新验证。

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2024-11-05 DOI:10.1186/s12939-024-02309-x
Stijn Schelfhout, Robin Vandecasteele, Sara Willems, Eva Derous, Stéphanie De Maesschalck
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引用次数: 0

摘要

目的:测量跨文化态度有助于了解和解决医疗保健领域长期存在的不公平现象。一些资料显示,与其创建新的工具,不如针对更广泛的人群对现有工具进行更严格的重新验证。作为现有工具的一个例子,EMP-3(少数民族患者)主要关注医生对少数民族患者的态度。从坚实的理论基础和严谨的方法论设置出发,本研究重新验证了针对医生的 EMP-3 工具和针对毕业医疗从业人员的 REMP-3 工具:我们评估了旧版 EMP-3 的信度和效度,然后将其更新为新版 REMP-3 工具。我们使用结构方程模型对两波独立数据(N2021 = 368 和 N2022 = 390)的跨文化有效性框架进行建模。在此框架内,我们测试了作为跨文化态度操作化的新 REMP-3 工具。我们对第一波数据进行了确认性因素分析,然后对原有的 EMP-3 工具进行了调整,得到了新的 REMP-3 工具。新的 REMP-3 工具随后使用第二波的数据进行了交叉验证:结果:与 EMP-3 相比,新的 REMP-3 测量工具在心理测量学方面有所提升。现在,REMP-3 具有经过交叉验证的结构,包括三个子量表维度(即任务感知、背景感知和感知到的沟通需求)和一个总体的高阶全量表维度。子量表和全量表都显示出可接受到良好的内部一致性可靠性,项目数量从 18 个减少到 10 个。正如理论上所预测的那样,REMP-3 也可以作为跨文化能力框架下的跨文化态度测量工具:最终,REMP-3 工具可以通过简明可靠地评估和监测医疗从业人员的态度,促进医疗保健领域的公平。这种态度评估体现了学习新技能和知识以应对与少数民族患者互动的潜力,在实习等培训期间尤其有用。
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Measuring attitudes towards ethnic minority patients: the revalidated REMP-3 instrument for graduate healthcare practitioners.

Objective: Measuring intercultural attitudes can aid in understanding and addressing persistent inequities in healthcare. Instead of creating new instruments, several sources call for a more rigorous revalidation of existing instruments towards a more broad population. As an example of such an existing instrument, the EMP-3 (Ethnic Minority Patients) focuses on the attitudes of physicians towards ethnic minority patients. Starting from a robust theoretical underpinning and a rigorous methodological setup, the present study revalidates the EMP-3 instrument for physicians towards the REMP-3 instrument for graduate healthcare practitioners.

Methods: We assessed the reliability and validity of the old EMP-3, which we then updated to a new REMP-3 instrument. We used structural equation modeling to model the framework of intercultural effectiveness on two waves of independent data, N2021 = 368 and N2022 = 390. Within this framework, we tested the new REMP-3 instrument as an operationalization of intercultural attitudes. We conducted a confirmatory factor analysis on the first wave, after which we made adaptations to the original EMP-3 instrument to obtain a new REMP-3 instrument. The new REMP-3 instrument was then cross-validated using the data of the second wave.

Results: The new REMP-3 instrument is a psychometric upgrade compared to the EMP-3. The REMP-3 now has a cross-validated structure, with three subscale dimensions (i.e., task perception, background perception and the perceived need to communicate) and an overarching higher-order, full-scale dimension. Both the subscales as well as the full instrument show acceptable to good internal consistency reliability, with a reduced number of items from eighteen to ten. As theoretically predicted, the REMP-3 also functions as a measure of intercultural attitudes in an intercultural competence framework.

Conclusion: Ultimately, the REMP-3 instrument can contribute to more equity in healthcare by concisely and reliably assessing and monitoring attitudes in healthcare practitioners. This attitude assessment represents the potential of learning new skills and knowledge to address interactions with ethnic minority patients, which is especially useful during training situations like an internship.

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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
期刊最新文献
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