Development and validation of a rurality index for healthcare research in Japan: a modified Delphi study.
Development and validation of a rurality index for healthcare research in Japan: a modified Delphi study.
复制标题
DOI：
10.1136/bmjopen-2022-068800
复制
发表时间：
2023-06-19
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
城乡医疗保健差距在全球范围内普遍存在。许多国家都使用乡村指数来评估这种差距。虽然日本有许多偏远的岛屿和农村地区，但没有乡村指数。这项研究旨在开发和验证用于医疗研究的日本乡村指数(RIJ)。采用改进的德尔菲法确定RIJ的影响因素，并对其进行效度评价。这项研究建立了一个专家小组，其中包括医疗保健专业人员和一名具有农村医疗保健专业知识的患者。小组成员来自日本各地，包括偏远岛屿、山区和大雪地区。专家小组招募了专家小组认为具有专业知识的调查参与者。最初的调查招募了100人，包括农村医疗保健提供者、当地政府工作人员和居民。专家小组和调查参与者确定了纳入RIJ的因素。并对选取的因子进行探索性因子分析，确定因子结构。通过计算医生分布指数和RIJ之间的相关性来检验收敛效度。通过计算与平均预期寿命的相关性来评估标准相关效度。最后一轮调查的回应率为84.8%。从德尔福的调查中，RIJ选择了四个因素：人口密度，到最近医院的直接距离，偏远的岛屿，以及天气是否影响到最近的医院。我们采用因子负载量作为各因子的权重。每个邮政编码的平均Rij为50.5。与医生分布指数的相关系数为−0.45(p<；0.001)，与男性和女性预期寿命的相关系数分别为−0.35(p<；0.001)和−0.12(p<；0.001)。本研究使用一种改进的德尔菲法开发了RIJ。该指数具有较好的效度。
Rural–urban healthcare disparities exist globally. Various countries have used a rurality index for evaluating the disparities. Although Japan has many remote islands and rural areas, no rurality index exists. This study aimed to develop and validate a Rurality Index for Japan (RIJ) for healthcare research. We employed a modified Delphi method to determine the factors of the RIJ and assessed the validity. The study developed an Expert Panel including healthcare professionals and a patient who had expertise in rural healthcare. The panel members were recruited from across Japan including remote islands, mountain areas and heavy snow areas. The panel recruited survey participants whom the panel considered to have expertise. The initial survey recruited 100 people, including rural healthcare providers, local government staff and residents. Factors to include in the RIJ were identified by the Expert Panel and survey participants. We also conducted an exploratory factor analysis on the selected factors to determine the factor structure. Convergent validity was examined by calculating the correlation between the index for physician distribution and the RIJ. Criterion-related validity was assessed by calculating the correlation with average life expectancy. The response rate of the final survey round was 84.8%. From the Delphi surveys, four factors were selected for the RIJ: population density, direct distance to the nearest hospital, remote islands and whether weather influences access to the nearest hospital. We employed the factor loadings as the weight of each factor. The average RIJ of every zip code was 50.5. The correlation coefficient with the index for physician distribution was −0.45 (p<0.001), and the correlation coefficients with the life expectancies of men and women were −0.35 (p<0.001) and −0.12 (p<0.001), respectively. This study developed the RIJ using a modified Delphi method. The index showed good validity.
登录
查看更多内容
影响因子：
3.8
作者：
Hasson, F;Keeney, S;McKenna, H
通讯作者：
McKenna, H
影响因子：
5.5
作者：
Singh, Gopal K.;Siahpush, Mohammad
通讯作者：
Siahpush, Mohammad
影响因子：
2.5
作者：
Han, Youli;Wei, Jihong;Zheng, Xiaoying
通讯作者：
Zheng, Xiaoying
影响因子：
3.8
作者：
MCKENNA, HP
通讯作者：
MCKENNA, HP
影响因子：
4
作者：
Akins RB;Tolson H;Cole BR
通讯作者：
Cole BR