مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

ساخت و اعتبارسنجی مقیاسی برای ارزیابی شاخص‌های عدالت در نظام سلامت ایران

نوع مقاله : مقاله پژوهشی

نویسندگان
1 Ph.D. student, Department of Public Administration, Qaimshahr Branch, Islamic Azad University, Qaimshahr, Iran.
2 Assistant professor, Department of Economic Sciences, Qaimshahr Branch, Islamic Azad University, Qaimshahr, Iran.
3 Assistant professor, Department of Social Sciences, Qaimshahr Branch, Islamic Azad University, Qaimshahr, Iran.
10.22038/jfmh.2025.85709.3209
چکیده
مقدمه: عدالت در نظام سلامت از اصول اساسی توسعه پایدار در جوامع است و نیازمند ابزارهای ارزیابی دقیقی می‌باشد. این مطالعه با هدف طراحی و اعتبارسنجی مقیاسی برای ارزیابی شاخص‌های عدالت در نظام سلامت ایران انجام شد.
روش‌ کار: در این مطالعه از رویکرد ترکیبی اکتشافی متوالی با تأکید بر بخش کمی استفاده شد. ابزار بر اساس شاخص‌های بخش کیفی طراحی و با استفاده از روایی صوری (کیفی و کمی)، محتوایی (CVR و CVI) و همزمان اعتبارسنجی شد. تحلیل سازه از طریق تحلیل عاملی اکتشافی و تأییدی انجام شد. جامعه آماری پژوهش شامل ۹۰۰ نفر از مراجعین به مراکز بهداشتی درمانی وابسته به دانشگاه علوم پزشکی شاهرود - ایران، در سال ۱۴۰۱ بود. از روش‌های نمونه‌گیری خوشه‌ای و سیستماتیک استفاده شد و ۸۸۹ پرسشنامه کاملاً تکمیل‌شده جمع‌آوری گردید. داده‌ها با استفاده از نرم‌افزارهای SPSS و LISREL تجزیه و تحلیل شدند.
نتایج: در بخش کیفی، نه بُعد کلیدی عدالت شناسایی شد. روایی ابزار با استفاده از روایی صوری، محتوایی (CVR و CVI به ترتیب از 0.80 تا 1.00 و 0.83 تا 0.97) و همزمان تأیید شد. تحلیل عاملی اکتشافی و تأییدی، ساختار نه عاملی با شاخص‌های برازش خوب (RMSEA= 0.040، CFI= 0.99) را نشان داد. پایایی با ضریب آلفای کرونباخ 0.923 تأیید شد.
نتیجه‌گیری: مقیاس ارزیابی عدالت در نظام سلامت ایران روا و پایا است و برای تحقیقات و سیاست‌گذاری‌های مرتبط با عدالت در نظام سلامت مناسب است. این ابزار، اندازه‌گیری جامع و دقیقی از شاخص‌های عدالت ارائه می‌دهد که برای شناسایی نقاط قوت و ضعف نظام سلامت بسیار مهم است.
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دوره 28، شماره 2
فروردین و اردیبهشت 1405
صفحه 133-144