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基层预防接种门诊服务满意度评估量表编制及评价研究

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目的 编制基层预防接种门诊的预防接种服务满意度评估量表并进行信效度检验.方法 采用文献研究法、访谈法和专家调查编制基层预防接种门诊服务满意度评估初始量表,通过对接种门诊0~6岁儿童家长进行现场调查,筛选条目后得到正式量表,评价量表信效度.结果 最终量表含5个维度30个条目.探索性因子分析提取5个公因子为服务规范性、服务可及性和有形性、人文关怀、响应性、服务保障性,累计解释方差百分比为73.64%.验证性因子分析结果显示,拟合指数x2/df=2.042、RMSER=0.067、CFI=0.942、TLI=0.933,各参数均达标准值,模型与实际数据拟合较好;5个维度的CR依次为0.943、0.931、0.855、0.943、0.861,AVE依次为0.664、0.618、0.665、0.770、0.674,聚合效度良好;服务规范性、服务可及性和有形性的A VE平方根值小干部分因子间的相关系数,区分效度稍逊.总量表的Cronbach's α系数为0.977,Guttman分半系数为0.932,信度良好.结论 本研究编制的基层预防接种门诊服务满意度评估量表信效度可接受,可为提升接种服务质量提供一种工具.
Study on the development and evaluation of satisfaction assessment scale for primary vaccination clinic services
Objective To develop the satisfaction assessment scale for primary vaccination clinic services and to test its reliability and validity.Methods The initial scale for evaluating the satisfaction of primary vaccination clinic ser-vice was developed by using literature research,interviews,and expert survey.The formal scale was obtained by field inves-tigation of parents of children aged 0-6 years in vaccination clinic after screening items,and the reliability and validity of the scale were evaluated.Results The final scale contained five dimensions and 30 items.Exploratory factor analysis ex-tracted five common factors,which were service standardization,service accessibility and tangibility,humanistic care,re-sponsiveness,and service guarantee,with a cumulative explained variance percentage of 73.64%.Confirmatory factor analy-sis showed a x2/df ratio of 2.042,RMSER of 0.067,CFI of 0.942,TLI of 0.933,all indicating a good model fit.The CR val-ues for the five dimensions were 0.943,0.931,0.855,0.943,and 0.861,respectively.Similarly,the AVE values were 0.664,0.618,0.665,0.770,and 0.674,respectively,indicating ideal aggregation validity.However,the square roots of AVE for ser-vice standardization and service accessibility and tangibility were smaller than the correlation coefficients among some fac-tors,suggesting slightly poor discriminant validity.The Cronbach's α coefficient of the total scale was 0.977,and the Gutt-man split-half coefficient was 0.932,both indicating good reliability.Conclusion The reliability and validity of the vacci-nation satisfaction evaluation scale prepared in this study are acceptable,which can provide a tool for improving the quality of vaccination service.

SERVQUALVaccination serviceSatisfactionScale developmentReliability and validity test

林丹儿、林晓、吴功华、胡俊贤、黄勇、李菁华、郝元涛

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中山大学公共卫生学院,广东 广州 510080

广州市白云区疾病预防控制中心

四川大学华西公共卫生学院/华西第四医院

广州市疾病预防控制中心

北京大学公众健康与重大疫情防控战略研究中心

重大疾病流行病学教育部重点实验室(北京大学)

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SERVQUAL 预防接种服务 满意度 量表编制 信效度检验

2024

华南预防医学
广东省疾病预防控制中心 中华预防医学会

华南预防医学

CSTPCD
影响因子:1.061
ISSN:1671-5039
年,卷(期):2024.50(11)