Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation
Abstract Background and aim The system of family doctor contract services is a crucial component of China's primary healthcare system. Patients enrolled in family doctor contract services typically receive more comprehensive health services. However, it remains uncertain whether the family doct...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-12-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-024-12070-0 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846112622231945216 |
|---|---|
| author | Jiaqi Zhang Cuihong Ou Yuxi Liu Yufeng Chen Tufen He Ruiming Liu |
| author_facet | Jiaqi Zhang Cuihong Ou Yuxi Liu Yufeng Chen Tufen He Ruiming Liu |
| author_sort | Jiaqi Zhang |
| collection | DOAJ |
| description | Abstract Background and aim The system of family doctor contract services is a crucial component of China's primary healthcare system. Patients enrolled in family doctor contract services typically receive more comprehensive health services. However, it remains uncertain whether the family doctor contract services can fully meet the healthcare needs of patients. Despite extensive research on family doctor contract services, there has been relatively little investigation from the perspective of patients' sense of gain, and there are no specific tools available to measure patients' sense of gain in healthcare. Therefore, this study aims to develop a scale to measure patients' sense of gain in family doctor contract services. Methods This study enrolled 600 patients under family doctor contracts. It utilized a review of literature and Delphi expert consultation to form the concept of patients' sense of medical gain in the context of family doctor services, establish an item pool, screen items, and evaluate the scale's reliability and validity. Factor analysis assessed the scale's structural validity, while Cronbach's alpha coefficient evaluated its internal consistency. Test–retest reliability and split-half reliability were used to assess the scale's reliability. Results The Patients' Sense of Medical Gain in the context of Family Doctor services(PSMG-FD) scale for assessing sense of medical gain among family doctor contract patients comprises 19 items, categorized into five factors: Medical convenience, continuity, reliability, humanistic care, and experience. Confirmatory factor analysis results indicated satisfactory fit indices: χ2/df = 2.781, RMSEA = 0.077, RMR = 0.031, GFI = 0.875, NFI = 0.918, IFI = 0.946, TLI = 0.934, CFI = 0.945, and RFI = 0.901. The AVE values for different dimensions were 0.544, 0.739, 0.741, 0.755, and 0.654, all surpassing the threshold of 0.5. The CR values for each dimension were 0.820, 0.919, 0.919, 0.925, and 0.850, all exceeding 0.7, indicating satisfactory convergent validity. The interdimensional correlation coefficients were lower than the square roots of the corresponding AVEs, suggesting correlation among latent variables while maintaining sufficient discriminant validity. The PSMG-FD scale demonstrated good reliability and validity, with a Cronbach’s α coefficient of 0.947, test–retest reliability of 0.955, and split-half reliability of 0.895. Conclusion The scale exhibits good reliability and validity, making it a suitable instrument for evaluating sense of medical gain among family doctor contract patients in China. |
| format | Article |
| id | doaj-art-3f8152d4821d4d8f9871b4496d2868c5 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-3f8152d4821d4d8f9871b4496d2868c52024-12-22T12:23:04ZengBMCBMC Health Services Research1472-69632024-12-0124111410.1186/s12913-024-12070-0Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validationJiaqi Zhang0Cuihong Ou1Yuxi Liu2Yufeng Chen3Tufen He4Ruiming Liu5School of Public Health, Guangdong Medical UniversitySchool of Humanities and Management, Guangdong Medical UniversitySchool of Humanities and Management, Guangdong Medical UniversitySchool of Humanities and Management, Guangdong Medical UniversityCommunity Health Service Center of Songshan LakeSchool of Humanities and Management, Guangdong Medical UniversityAbstract Background and aim The system of family doctor contract services is a crucial component of China's primary healthcare system. Patients enrolled in family doctor contract services typically receive more comprehensive health services. However, it remains uncertain whether the family doctor contract services can fully meet the healthcare needs of patients. Despite extensive research on family doctor contract services, there has been relatively little investigation from the perspective of patients' sense of gain, and there are no specific tools available to measure patients' sense of gain in healthcare. Therefore, this study aims to develop a scale to measure patients' sense of gain in family doctor contract services. Methods This study enrolled 600 patients under family doctor contracts. It utilized a review of literature and Delphi expert consultation to form the concept of patients' sense of medical gain in the context of family doctor services, establish an item pool, screen items, and evaluate the scale's reliability and validity. Factor analysis assessed the scale's structural validity, while Cronbach's alpha coefficient evaluated its internal consistency. Test–retest reliability and split-half reliability were used to assess the scale's reliability. Results The Patients' Sense of Medical Gain in the context of Family Doctor services(PSMG-FD) scale for assessing sense of medical gain among family doctor contract patients comprises 19 items, categorized into five factors: Medical convenience, continuity, reliability, humanistic care, and experience. Confirmatory factor analysis results indicated satisfactory fit indices: χ2/df = 2.781, RMSEA = 0.077, RMR = 0.031, GFI = 0.875, NFI = 0.918, IFI = 0.946, TLI = 0.934, CFI = 0.945, and RFI = 0.901. The AVE values for different dimensions were 0.544, 0.739, 0.741, 0.755, and 0.654, all surpassing the threshold of 0.5. The CR values for each dimension were 0.820, 0.919, 0.919, 0.925, and 0.850, all exceeding 0.7, indicating satisfactory convergent validity. The interdimensional correlation coefficients were lower than the square roots of the corresponding AVEs, suggesting correlation among latent variables while maintaining sufficient discriminant validity. The PSMG-FD scale demonstrated good reliability and validity, with a Cronbach’s α coefficient of 0.947, test–retest reliability of 0.955, and split-half reliability of 0.895. Conclusion The scale exhibits good reliability and validity, making it a suitable instrument for evaluating sense of medical gain among family doctor contract patients in China.https://doi.org/10.1186/s12913-024-12070-0Family Doctor's contracting servicesSense of medical gainScaleReliabilityValidity |
| spellingShingle | Jiaqi Zhang Cuihong Ou Yuxi Liu Yufeng Chen Tufen He Ruiming Liu Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation BMC Health Services Research Family Doctor's contracting services Sense of medical gain Scale Reliability Validity |
| title | Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation |
| title_full | Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation |
| title_fullStr | Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation |
| title_full_unstemmed | Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation |
| title_short | Patients' sense of medical gain on family doctor contracting services in China: scale development and preliminary validation |
| title_sort | patients sense of medical gain on family doctor contracting services in china scale development and preliminary validation |
| topic | Family Doctor's contracting services Sense of medical gain Scale Reliability Validity |
| url | https://doi.org/10.1186/s12913-024-12070-0 |
| work_keys_str_mv | AT jiaqizhang patientssenseofmedicalgainonfamilydoctorcontractingservicesinchinascaledevelopmentandpreliminaryvalidation AT cuihongou patientssenseofmedicalgainonfamilydoctorcontractingservicesinchinascaledevelopmentandpreliminaryvalidation AT yuxiliu patientssenseofmedicalgainonfamilydoctorcontractingservicesinchinascaledevelopmentandpreliminaryvalidation AT yufengchen patientssenseofmedicalgainonfamilydoctorcontractingservicesinchinascaledevelopmentandpreliminaryvalidation AT tufenhe patientssenseofmedicalgainonfamilydoctorcontractingservicesinchinascaledevelopmentandpreliminaryvalidation AT ruimingliu patientssenseofmedicalgainonfamilydoctorcontractingservicesinchinascaledevelopmentandpreliminaryvalidation |