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博士論文
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DOI[info:doi/10.1186/s12875-015-0357-z]のデータに遷移します
Development of a questionnaire to measure primary care physicians' scope of practice
- 国立国会図書館永続的識別子
- info:ndljp/pid/10993779
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- application/pdfBackground: Despite an increase in research devoted to primary care attributes, the patient benefits and educational aspects of broad s...
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デジタル
- 資料種別
- 博士論文
- 著者・編者
- Ie, Kenya
- 著者標目
- 出版事項
- 出版年月日等
- 2016-07-20
- 出版年(W3CDTF)
- 2016-07-20
- 授与機関名
- 三重大学
- 授与年月日
- 2016-07-20
- 授与年月日(W3CDTF)
- 2016-07-20
- 報告番号
- 甲医学第1792号
- 学位
- 博士(医学)
- 博論授与番号
- 甲医学第1792号
- 本文の言語コード
- eng
- 件名標目
- 対象利用者
- 一般
- 一般注記
- application/pdfBackground: Despite an increase in research devoted to primary care attributes, the patient benefits and educational aspects of broad scope practice of primary care physicians (PCPs) have not been well studied, due to a lack of validated measurement in each country. The objective of this study was to develop and validate the Scope of Practice Inventory (SPI) to measure physicians' scope of practice within the Japanese primary care setting. Methods: The questionnaire was developed in seven phases: 1) item generation, 2) consensus method for necessity of each item, 3) Delphi process for the importance of each item, 4) pilot tests to limit the number of items, 5) preliminary cross-sectional study to examine factor structure and to validate the construct validity, 6) evaluation of internal consistency and intra-class reliability, and 7) evaluation of external validity. To confirm the interpretability of the SPI, the determinants of the SPI using a generalized linear model were evaluated. Results: Among 359 items generated by a focus group, 180 reached a defined consensus on face and content validity after the Delphi process. After deletion of items with Kappa values less than 0.6, 120 items were selected for the preliminary study. The principle component analysis using responses from 451 PCPs eliminated 52 items. The final 68-point SPI had three subdomains: Inpatient care, 25 items; Urgent care and minor procedures, 27 items; and Ambulatory care, 16 items. Internal consistency and test-retest reliability for total SPI and each subdomain revealed acceptable reliability. Male sex, less years since graduation, working in a hospital, sub-urban or rural setting, having remote experience, and having board certification as a PCP were positively associated with higher SPI. Conclusions: We developed a self-administered 68-point scale, the SPI, which had satisfactory validity and reliability. Primary care quality and educational research using SPI are expected to contribute to comprehensive and efficient health care systems in the future.本文 / Department of Family Medicine, Mie University School of Medicine; Graduate School of Public Health, University of Pittsburgh9p
- DOI
- info:doi/10.1186/s12875-015-0357-z
- 国立国会図書館永続的識別子
- info:ndljp/pid/10993779
- コレクション(共通)
- コレクション(障害者向け資料:レベル1)
- コレクション(個別)
- 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
- 収集根拠
- 博士論文(自動収集)
- 受理日(W3CDTF)
- 2017-12-04T02:02:48+09:00
- 作成日(W3CDTF)
- 2017-11-07
- 記録形式(IMT)
- application/pdf
- オンライン閲覧公開範囲
- 国立国会図書館内限定公開
- デジタル化資料送信
- 図書館・個人送信対象外
- 遠隔複写可否(NDL)
- 可
- 連携機関・データベース
- 国立国会図書館 : 国立国会図書館デジタルコレクション