患者及家属医院文化知晓与体验感量表研究  

A Scale Study of Patients'and Families'Knowledge and Experience of Hospital Culture

作　　者：张小雨 王静蓉 黄璐婷 姚君[2] 李超红[2] 荆丽梅 Zhang Xiaoyu;Wang Jingrong;Huang Luting;Jing Limei(School of Public Health,Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China;不详)

机构地区：[1]上海中医药大学公共健康学院,上海201203 [2]上海市胸科医院,上海200030 [3]上海交通大学公共卫生学院,上海200025

出　　处：《中国医院管理》2024年第6期20-24,共5页Chinese Hospital Management

基　　金：文化引领助力公立医院高质量发展研究项目。

摘　　要：目的研究编制患者及家属医院文化知晓与体验感量表并验证信度和效度,为了解患者及家属医院文化体验感并促进医院文化建设提供测量工具。方法基于政策要求和实践需求,结合医院顾客满意度理论框架、文献梳理以及专家咨询论证形成量表。选取样本医院患者及家属进行调查,通过项目分析、探索性因子分析和Cronbach’sα系数等检验量表的信度和效度。结果量表包含服务感知、价值认可和文化知晓3个维度29个条目。项目分析结果显示:量表具有较好的区分度;总量表Cronbach’s α系数为0.975,Spearman-Brown系数为0.934,信度较好;探索性因子分析结果显示:共提取3个公因子,累计方差贡献率为76.61%,各因子载荷均大于0.4;验证性因子分析结果显示:模型拟合较好;各维度组合信度大于0.7,平均方差变异大于0.5,聚敛效度较好。结论量表具有较好的信度和效度,可用于量化评估患者及家属对医院文化的知晓和体验感,为从患者视角评价文化引领助力公立医院高质量发展状况提供科学工具。Objective It developed a hospital culture awareness and experience scale for patients and their families and its reliability and validity were verified.The scale provides a tool for investigating patients'and families'experiences of hospital culture and promoting hospital culture building.Methods A scale that meets policy requirements and practice needs was designed with reference to a theoretical framework of hospital customers satisfaction index and it was refined through expert consultation.Patients and family members of a sample hospital were selected for the survey,and the reliability and validity of the scale were tested by item analysis,factor analysis and Cronbach'sα.Results The scale contains 29 items in 3 dimensions of service perception,value recognition and cultural knowledge.Item analysis results showed that the scale had good differentiation.The Cronbach'sαof the total scale was 0.975,and the Spearman-Brown was 0.934,with good reliability.Exploratory factor analysis extracted three male factors,with a cumulative variance contribution rate of 76.61%,and the factor loadings of each factor were all greater than 0.4.Validation factor analysis results suggests a better model fit.The CR is greater than 0.7 and the AVE of each dimension is greater than 0.5,which proves that convergent validity is good.Conclusion The scale has good reliability and validity,and can be used to quantitatively assess patients'and their families'sense of knowing and experiencing the hospital culture.It can provide scientific tool for evaluating the status of cultural leadership in helping public hospitals to develop high quality from the patient's perspective.

关 键 词：医院文化 患者 家属 知晓 体验感 量表 信度 效度 

分 类 号：R197.3[医药卫生—卫生事业管理]