基层预防接种门诊服务满意度评估量表编制及评价研究

doi:10.12183/j.scjpm.2024.1016

华南预防医学 ›› 2024, Vol. 50 ›› Issue (11): 1016-1020.doi: 10.12183/j.scjpm.2024.1016

基层预防接种门诊服务满意度评估量表编制及评价研究

林丹儿^1,2, 林晓¹, 吴功华³, 胡俊贤², 黄勇⁴, 李菁华¹, 郝元涛^5,6

1.中山大学公共卫生学院,广东广州 510080;
2.广州市白云区疾病预防控制中心;
3.四川大学华西公共卫生学院/华西第四医院;
4.广州市疾病预防控制中心;
5.北京大学公众健康与重大疫情防控战略研究中心;
6.重大疾病流行病学教育部重点实验室（北京大学）

收稿日期:2024-07-19 出版日期:2024-11-20 发布日期:2024-12-04
通讯作者: 郝元涛,E-mail：haoyt@bjmu.edu.cn;林晓,E-mail：linx87@mail.sysu.edu.cn
作者简介:林丹儿（1985—）,女,在读硕士研究生,副主任医师,主要从事免疫规划工作
基金资助:
国家自然科学基金青年科学基金项目（82204154）; 白云区医疗卫生科技项目（2024-YL-042）

Study on the development and evaluation of satisfaction assessment scale for primary vaccination clinic services

LIN Daner^1,2, LIN Xiao¹, WU Gonghua³, HU Junxian², HUANG Yong⁴, LI Jinghua¹, HAO Yuantao^5,6

1. School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China;
2. Guangzhou Baiyun District Center for Disease Control and Prevention;
3. West China School of Public Health and West China Fourth Hospital, Sichuan University;
4. Guangzhou Center for Disease Control and Prevention;
5. Peking University Center for Public Health and Epidemic Preparedness & Response;
6. Key Laboratory of Epidemiology of Major Diseases(Peking University), Ministry of Education

Received:2024-07-19 Online:2024-11-20 Published:2024-12-04

摘要/Abstract

摘要： 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χ²/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AVE平方根值小于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。

关键词: SERVQUAL, 预防接种服务, 满意度, 量表编制, 信效度检验

Abstract: 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 service was developed by using literature research, interviews, and expert survey. The formal scale was obtained by field investigation 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 extracted five common factors, which were service standardization, service accessibility and tangibility, humanistic care, responsiveness, and service guarantee, with a cumulative explained variance percentage of 73.64%. Confirmatory factor analysis showed a χ²/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 values 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 service standardization and service accessibility and tangibility were smaller than the correlation coefficients among some factors, suggesting slightly poor discriminant validity. The Cronbach's α coefficient of the total scale was 0.977, and the Guttman split-half coefficient was 0.932, both indicating good reliability. Conclusion The reliability and validity of the vaccination satisfaction evaluation scale prepared in this study are acceptable, which can provide a tool for improving the quality of vaccination service.

Key words: SERVQUAL, Vaccination service, Satisfaction, Scale development, Reliability and validity test

中图分类号:

R186

林丹儿, 林晓, 吴功华, 胡俊贤, 黄勇, 李菁华, 郝元涛. 基层预防接种门诊服务满意度评估量表编制及评价研究[J]. 华南预防医学, 2024, 50(11): 1016-1020.

LIN Daner, LIN Xiao, WU Gonghua, HU Junxian, HUANG Yong, LI Jinghua, HAO Yuantao. Study on the development and evaluation of satisfaction assessment scale for primary vaccination clinic services[J]. South China Journal of Preventive Medicine, 2024, 50(11): 1016-1020.

参考文献

[1] Nandi A, Shet A.Why vaccines matter: Understanding the broader health, economic, and child development benefits of routine vaccination[J]. Hum Vaccin Immunother, 2020, 16(8): 1900-1904.
[2] 郑慧贞,吴承刚,张永慧,等. 应对疫苗犹豫的广东专家共识[J]. 华南预防医学,2020,46(5):461-463,522.
[3] 胡入月,李力,陈俊磊,等. 我国预防接种服务能力提升的挑战与建议[J]. 中国预防医学杂志,2024,25(7):943-948.
[4] 孙立昆,贾琴,李艳辉. 北京市石景山区预防接种门诊资源配置现状调查[J]. 华南预防医学,2024,50(6):524-527.
[5] World Health Organization. Immunization agenda2030: A global strategy to leave no one behind[EB/OL]. (2020-04-01)[2024-10-10]. https: //www.who.int/publications/m/item/immunization-agenda-2030-a-global-strategy-to-leave-no-one-behind.
[6] 宋祎凡,吉赛赛,余文周,等. 中国儿童监护人预防接种服务满意度及其影响因素调查[J]. 中国疫苗和免疫,2020,26(3):301-305.
[7] 龙良秀子. 公共服务满意度中的框架效应[D]. 成都:西南交通大学,2019.
[8] Jonkisz A, Karniej P, Krasowska D.SERVQUAL method as an “old new” tool for improving the quality of medical services: A literature review[J]. Int J Environ Res Public Health, 2021, 18(20): 10758.
[9] Ridhwanul Haq MD, Khurshid Ul Alam SM, Anupom Mollick M, et al. Testing SERVQUAL scale items in vaccination management system: A case study in Bangladeshi hospitals[J]. J Posit Psychol, 2022, 6(7): 1035-1047.
[10] Al Atar, Ghaliya Salah Mohammed, Noor Saadah Zainal Abidin. Navigating healthcare service quality, preparedness and resources availability using servqual during COVID 19[J]. IJBEL, 2022, 27(1): 93-109.
[11] 周云霞. 基于SERVQUAL模型的城市社区慢性病卫生服务质量评价研究[D]. 镇江:江苏大学,2021.
[12] 严训. 基于SERVQUAL模型的家庭医生慢病管理服务质量研究[D]. 合肥:安徽医科大学,2021.
[13] 王熔. 养老机构老年人人文关怀满意度问卷的编制及信效度检验[D]. 武汉:武汉轻工大学,2021.
[14] 王艳华. 中央导管相关血流感染预防知信行量表的编制及信效度检验[D]. 济南:山东大学,2019.
[15] 陆明霞,杜国明,邵燕. 张家港市儿童家长对预防接种服务满意度的调查[J]. 现代预防医学,2020,47(9):1595-1597.
[16] 杨丽萍,张琳,王怀娟,等. 上海市青浦区某社区智慧接种满意度评估[J]. 健康教育与健康促进,2021,16(1):79-80.
[17] 胡平,洪伟,王洋,等. 青岛市儿童监护人对智慧化预防接种门诊服务的满意度调查[J]. 中国疫苗和免疫,2023,29(4):464-468.
[18] 李旭,赖思宏,陈静纯,等. 基于SERVQUAL模型的基层医疗卫生服务质量评价研究[J]. 中国卫生事业管理,2024,41(3):274-279.
[19] 陆天雅,陈娇龙,郑绪才. SERVQUAL模型在医疗服务质量评价中的应用现状[J]. 全科护理,2023,21(2):183-186.
[20] 时桂倩,刘笑言,马明珠,等. COVID-19常态化防控下公众风险感知量表的编制与信效度分析[J]. 中国卫生统计,2023,40(3):363-366.
[21] 张克兴,周玉静,毛雯倩,等. 60岁及以上老年人流感疫苗犹豫量表编制与评估[J]. 现代预防医学,2024,51(5):865-870.
[22] 赵娜,付惠玲,陈惠军,等. 多动症儿童家长疾病知识态度行为调查[J]. 临床心身疾病杂志,2021,27(5):92-95.
[23] 时文琳,钱韦韦. 中文版成年癌症幸存者生活质量量表在宫颈癌患者中的应用研究[J]. 华南预防医学,2023,49(5):568-572.
[24] 万亚男,周金意,苏健,等. 江苏省6县区≥40岁居民生命质量量表信效度检验与常模建立[J]. 华南预防医学,2021,47(11):1401-1404,1409.
[25] 陈庆. 西安市城镇居民基本公共卫生服务满意度评价和提升研究[D]. 西安:西北大学,2022.

基层预防接种门诊服务满意度评估量表编制及评价研究

Study on the development and evaluation of satisfaction assessment scale for primary vaccination clinic services

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