阿拉伯文版卫生保健问卷:验证、因子分析和Rasch模型。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI:10.1177/11786329251336833
Walid Al-Qerem, Anan Jarab, Judith Eberhardt, Fawaz Alasmari, Alaa Hammad, Sarah Abu Hour, Lujain Al-Sa'di, Rama AlKhateeb
{"title":"阿拉伯文版卫生保健问卷:验证、因子分析和Rasch模型。","authors":"Walid Al-Qerem, Anan Jarab, Judith Eberhardt, Fawaz Alasmari, Alaa Hammad, Sarah Abu Hour, Lujain Al-Sa'di, Rama AlKhateeb","doi":"10.1177/11786329251336833","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Access to healthcare is a critical determinant of individual and population health outcomes. However, few validated tools exist to evaluate healthcare access among Arabic-speaking populations.</p><p><strong>Objectives: </strong>This study aimed to validate the Arabic version of the Perception of Access to Health Care Services Questionnaire (PAHSQ) and assess its psychometric properties, including reliability and construct validity, using factor and Rasch analyses.</p><p><strong>Design: </strong>A cross-sectional study was conducted with 485 participants (53.4% female) recruited from hospitals and pharmacies in Jordan.</p><p><strong>Methods: </strong>Confirmatory factor analysis (CFA) and Rasch analysis were employed to evaluate the construct validity and item performance of the 30-item, six-factor model. Internal consistency was assessed using Cronbach's alpha.</p><p><strong>Results: </strong>The Arabic PAHSQ exhibited strong psychometric properties. CFA confirmed the suitability of the six-factor model (χ²/df = 3.2, RMSEA = 0.07, CFI = 0.93, TLI = 0.92). Cronbach's alpha values for the six dimensions ranged from 0.82 to 0.93. Rasch analysis demonstrated acceptable infit and outfit values for all items, with item thresholds correctly oriented. Key findings highlighted significant disparities in healthcare access, particularly among participants with low income and no insurance coverage.</p><p><strong>Conclusions: </strong>The Arabic PAHSQ is a reliable and valid tool for assessing healthcare access among Arabic-speaking populations. Its use can inform targeted interventions, guide resource allocation, and support health equity initiatives. Further research should explore its applicability across diverse Arabic-speaking regions and incorporate qualitative methodologies to capture more subtle access barriers.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"18 ","pages":"11786329251336833"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041685/pdf/","citationCount":"0","resultStr":"{\"title\":\"Arabic Version of the Perceived Access to Health Care Questionnaire: Validation, Factor Analysis, and Rasch Modeling.\",\"authors\":\"Walid Al-Qerem, Anan Jarab, Judith Eberhardt, Fawaz Alasmari, Alaa Hammad, Sarah Abu Hour, Lujain Al-Sa'di, Rama AlKhateeb\",\"doi\":\"10.1177/11786329251336833\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Access to healthcare is a critical determinant of individual and population health outcomes. However, few validated tools exist to evaluate healthcare access among Arabic-speaking populations.</p><p><strong>Objectives: </strong>This study aimed to validate the Arabic version of the Perception of Access to Health Care Services Questionnaire (PAHSQ) and assess its psychometric properties, including reliability and construct validity, using factor and Rasch analyses.</p><p><strong>Design: </strong>A cross-sectional study was conducted with 485 participants (53.4% female) recruited from hospitals and pharmacies in Jordan.</p><p><strong>Methods: </strong>Confirmatory factor analysis (CFA) and Rasch analysis were employed to evaluate the construct validity and item performance of the 30-item, six-factor model. Internal consistency was assessed using Cronbach's alpha.</p><p><strong>Results: </strong>The Arabic PAHSQ exhibited strong psychometric properties. CFA confirmed the suitability of the six-factor model (χ²/df = 3.2, RMSEA = 0.07, CFI = 0.93, TLI = 0.92). Cronbach's alpha values for the six dimensions ranged from 0.82 to 0.93. Rasch analysis demonstrated acceptable infit and outfit values for all items, with item thresholds correctly oriented. Key findings highlighted significant disparities in healthcare access, particularly among participants with low income and no insurance coverage.</p><p><strong>Conclusions: </strong>The Arabic PAHSQ is a reliable and valid tool for assessing healthcare access among Arabic-speaking populations. Its use can inform targeted interventions, guide resource allocation, and support health equity initiatives. Further research should explore its applicability across diverse Arabic-speaking regions and incorporate qualitative methodologies to capture more subtle access barriers.</p>\",\"PeriodicalId\":12876,\"journal\":{\"name\":\"Health Services Insights\",\"volume\":\"18 \",\"pages\":\"11786329251336833\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-04-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041685/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Services Insights\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/11786329251336833\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Services Insights","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/11786329251336833","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

背景:获得医疗保健是个人和人群健康结果的关键决定因素。然而,很少有有效的工具来评估阿拉伯语人口的医疗保健可及性。目的:本研究旨在验证阿拉伯文版《卫生保健服务获得感问卷》(PAHSQ)的有效性,并利用因子分析和Rasch分析评估其心理测量学性质,包括信度和结构效度。设计:横断面研究从约旦的医院和药房招募了485名参与者(53.4%为女性)。方法:采用验证性因子分析(CFA)和Rasch分析对30项六因素模型的结构效度和项目绩效进行评价。内部一致性采用Cronbach’s alpha评价。结果:阿拉伯文PAHSQ具有较强的心理测量性质。CFA证实了六因素模型的适用性(χ²/df = 3.2, RMSEA = 0.07, CFI = 0.93, TLI = 0.92)。六个维度的Cronbach’s alpha值在0.82 ~ 0.93之间。Rasch分析展示了所有项目的可接受的infit和装备值,项目阈值正确定位。主要调查结果强调了在获得医疗保健方面的巨大差异,特别是在低收入和无保险的参与者中。结论:阿拉伯语PAHSQ是评估阿拉伯语人群卫生保健可及性的可靠有效工具。它的使用可以为有针对性的干预措施提供信息,指导资源分配,并支持卫生公平倡议。进一步的研究应探讨其在不同阿拉伯语地区的适用性,并结合定性方法来捕捉更微妙的访问障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Arabic Version of the Perceived Access to Health Care Questionnaire: Validation, Factor Analysis, and Rasch Modeling.

Background: Access to healthcare is a critical determinant of individual and population health outcomes. However, few validated tools exist to evaluate healthcare access among Arabic-speaking populations.

Objectives: This study aimed to validate the Arabic version of the Perception of Access to Health Care Services Questionnaire (PAHSQ) and assess its psychometric properties, including reliability and construct validity, using factor and Rasch analyses.

Design: A cross-sectional study was conducted with 485 participants (53.4% female) recruited from hospitals and pharmacies in Jordan.

Methods: Confirmatory factor analysis (CFA) and Rasch analysis were employed to evaluate the construct validity and item performance of the 30-item, six-factor model. Internal consistency was assessed using Cronbach's alpha.

Results: The Arabic PAHSQ exhibited strong psychometric properties. CFA confirmed the suitability of the six-factor model (χ²/df = 3.2, RMSEA = 0.07, CFI = 0.93, TLI = 0.92). Cronbach's alpha values for the six dimensions ranged from 0.82 to 0.93. Rasch analysis demonstrated acceptable infit and outfit values for all items, with item thresholds correctly oriented. Key findings highlighted significant disparities in healthcare access, particularly among participants with low income and no insurance coverage.

Conclusions: The Arabic PAHSQ is a reliable and valid tool for assessing healthcare access among Arabic-speaking populations. Its use can inform targeted interventions, guide resource allocation, and support health equity initiatives. Further research should explore its applicability across diverse Arabic-speaking regions and incorporate qualitative methodologies to capture more subtle access barriers.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信