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ID 113204
Title Alternative
「アクセスを高める住民ネットワーク尺度」の開発
Development of the Resident Network Scales to improve access to healthcare and welfare services for underserved populations
Author
Keywords
アクセス
ネットワーク
保健師
ソーシャルキャピタル
Access
Network
Pubic Health Nurse
Social Capital
Content Type
Journal Article
Description
目的:本研究では,「サービスがおよびにくい人」の保健医療福祉専門職へのアクセスを高めるための住民ネットワーク機能を評価する測定尺度を開発することを目的とした.
方法:予備調査より作成した31項目の尺度試案について,全国の保健所,市町村,地域包括支援センターの常勤保健師へ質問紙調査を行った.
結果:有効回答者1,062名について分析した.探索的因子分析では5下位因子からなる尺度が作成され,第一因子「住民同士のつきあい」(9項目),第二因子「ネットワークの土壌となる地域の特徴」(6項目),第三因子「住民が集う場や機会」(3項目),第四因子「住民と専門職とのつながり」(4項目),第五因子「住民同士の助け合いや情報交換」(5項目)が抽出された.内的整合性を示すCronbach’s ▯信頼係数は0.903であり高い信頼性が確保された.
考察:本研究の結果,信頼性および妥当性が確認された5因子からなる「アクセスを高める住民ネットワーク尺度」が開発された.本尺度は,保健医療福祉サービスを必要とするものの自らはアクセスできない人々を,地域住民を通じたアクセスが高められるネットワークが構築されているかを客観的に評価する際に使用可能であることが示唆された.
Description Alternative
Objective:This study aimed to develop a measurement scale for evaluating resident network function in the hopes of increasing underserved populations’ access to healthcare practitioners.
Methods:A questionnaire survey using the drafted scale, consisting of 31 items that were developed based on previous research, was conducted with full-time public health nurses working at a total of 1215 facilities (public health centers, municipal health centers, and regional comprehensive support centers)throughout Japan.
Results:The responses of 1062 effective respondents were analyzed. Exploratory factor analysis resulted in a scale composed of 5 sub-factors : Factor 1 Connection with residents( 9 items), Factor 2 Network foundations ( 6 items), Factor 3 Place and opportunity for residents to gather ( 3 items), Factor 4 Connection with specialists (4 items), and Factor 5 Aiding each other and information exchange among local residents ( 5 items). Cronbach’s ▯ reliability coefficient, which indicates internal consistency, was 0.903,indicating high reliability.
Discussion:The result of this study led to the development of the Resident Network Function Evaluation Scales for Improving Access, comprising 5 sub-factors whose reliability and validity were confirmed. It was suggested that this scale could be used to objectively evaluate whether a local resident network has been established for healthcare and welfare service providers to identify through local residents those people who require such services but are unable to access them on their own.
Journal Title
The Journal of Nursing Investigation
ISSN
13483722
24342238
NCID
AA11937122
Publisher
徳島大学医学部
Volume
14
Issue
1-2
Start Page
1
End Page
8
Sort Key
1
Published Date
2016-11-30
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences