中国医患信任量表的初步编制与信效度检验
Preliminary Establishment of Chinese Doctor-Patient Trust Scales and their Reliability and Validity
为编制中国医患信任量表,预测试经项目分析、探索性因素分析和验证性因素分析,确立了患方信任量表中预设性信任分量表的9个条目和现实性信任分量表的13个条目,以及医方信任量表8个条目,并以此在全国范围内以便利抽样方式对2658名患方和1229名医方有效被试进行初测。预测试和初测结果均表明,患方信任量表只能作为单维度总加量表,而医方信任量表可分为“关系感知”和“防御心态”两个维度。患方预设性信任分量表、患方现实性信任分量表和医方信任量表的内部一致性系数分别为0.71、0.85和0.63,效标效度和验证性因素分析的各项参数均在可接受范围,专家评定效度良好。患方预设性信任分量表可用于从群际层面了解患方对医生群体的一般信任水平,现实性信任分量表可用于从人际层面了解患方对具体医生的特殊信任水平;医方信任量表可用于评估医师对其所接诊的患方个体的信任度;结合三者可评估医患双方的信任匹配度。
In order to compile the Chinese Doctor-Patient Trust Scales, after a series of analysis of pre-tested, such as items analysis, exploratory factor analysis and confirmatory factor analysis, 9 items of the Patients Presupposed Trust Subscale, 13 items of the Patients Realistic Trust Subscale and 8 items of the Physicians Trust Scale were established. And in this way, a preliminary test was conducted on 2658 patients and 1229 doctors in a convenience sampling manner nationwide. The results of both tests show that the Patients Trust Scale can only be used as a single-dimensional total scale, while the Physicians Trust Scale can be divided into two dimensions: relationship perception and defense mentality. The internal consistency coefficients of the Patients Presupposed Trust Subscale, the Patients Realistic Trust Subscale, and the Physicians Trust Scale are 0.71, 0.85, and 0.63 respectively. The parameters of the criterion validity and confirmatory factor analysis are all within the acceptable range. The validity of the expert evaluation of the test is adequate. The Patients Presupposed Trust Subscale can be used to understand the general trust level of the patients to the doctor community from the intergroup level. The Patients Realistic Trust Subscale can be used to understand the patients special trust level to the specific doctor from the interpersonal level; The Physicians Trust Scale can be used to assess the trust of the physician in the individual patient they are receiving. The combination of the three can be used to assess the trust matching between doctors and patients."
医药卫生理论
中国医患信任量表医患信任医患关系患方信任医方信任
the Chinese Doctor-Patient Trust Scalesdoctor-patient trustdoctor-patient relationshippatients’ trustphysicians’ trust
.中国医患信任量表的初步编制与信效度检验[EB/OL].(2019-08-14)[2025-08-10].https://chinaxiv.org/abs/201907.00005.点此复制
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