Accessibility and Perceived Value of Health Services in Five Western Illinois Rural Communities
Accessibility and Perceived Value of Health Services in Five Western Illinois Rural Communities
复制标题
伊利诺伊州西部五个农村社区卫生服务的可及性和感知价值
DOI：
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发表时间：
1999
影响因子：
5.9
通讯作者：
Janis E. McCubbin
中科院分区：
文献类型：
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作者：
P. Watts;M. Dinger;K. Baldwin;Rebecca J. Sisk;Beth A. Brockschmidt;Janis E. McCubbin
本研究的目的是确定在南富尔顿县，伊利诺伊州的五个选定的农村社区的卫生服务的可及性和感知价值。在调查中使用了较大的富尔顿县卫生保健调查的卫生服务可及性和价值量表（HSAVS）。12个项目组成的HSAVS调查参与者的看法相对于医疗，牙科，护理和公共卫生部门提供给他们作为农村居民的服务。1079名受试者完成了HSAVS。通过计算系数α来评估HSAVS的可靠性。该量表具有可接受的内部一致性信度（α = .7884）。为了检验量表的结构效度，完成了主成分因素分析。该分析产生了四因素解决方案，占累积总方差的66.6%。计算项目平均值，并用于对HSAVS声明进行排名。调查参与者最重视急诊和初级医疗服务。对接受调查的农村居民来说，获得药房、眼科护理、牙科护理和免疫接种服务的重要性相对较高。家庭医疗保健的可用性、往返医疗保健机构的交通以及获得心理健康服务的机会被认为对生活在所研究的农村地区的人来说价值较小。最不重要的是酒精和其他药物咨询服务、产前护理/优生服务和计划生育服务。HSAVS总分和个人陈述也按性别、年龄、居住地和收入进行分析，并报告结果。
The purpose of this study was to determine the accessibility and perceived value of health services in five selected rural communities in South Fulton County, Illinois. The Health Services Accessibility and Value Scale (HSAVS) component of the larger Fulton County Health Care Survey was used in the investigation. The 12 items comprising the HSAVS surveyed participant perceptions relative to medical, dental, nursing, and public health department services available to them as rural residents. The HSAVS was completed by 1079 subjects. The reliability of the HSAVS was assessed by computing coefficient alpha. The scale had acceptable internal consistency reliability (alpha = .7884). To examine the construct validity of the scale, a principle component factor analysis was completed. This analysis resulted in a four factor solution which accounted for 66.6% of the cumulative total variance. Item means were calculated and were used to rank the HSAVS statements. Emergency and primary medical services were valued the most by the survey participants. Relatively high in importance to the rural residents surveyed were access to pharmacy, eye care, dental care, and immunization services. Availability of home health care, transportation to and from health care facilities, and access to mental health services were considered to be of lesser value to persons living in the rural area studied. Of least importance were alcohol and other drug counseling services, prenatal care/well baby services, and family planning services. HSAVS total scores and individual statements were also analyzed by sex, age, place of residence, and income and the results were reported.