Conference
Detecting and measuring deprivation in primary care: development, validity and reliability of a self-reported questionnaire - the DiPCare-Q
| العنوان: | Detecting and measuring deprivation in primary care: development, validity and reliability of a self-reported questionnaire - the DiPCare-Q |
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| المؤلفون: | Vaucher, P., Bischoff, T., Diserens, EA., Herzig, L., Meystre-Agustoni, G., Panese, F., Favrat, B., Sass, C., Bodenmann, P. |
| المصدر: | 80. Jahresversammlung der Schweizerischen Gesellschaft für Allgemeine Innere Medizin, vol. 12, pp. 57S-58S |
| سنة النشر: | 2012 |
| المجموعة: | Université de Lausanne (UNIL): Serval - Serveur académique lausannois |
| الوصف: | Background: General practitioners play a central role in taking deprivation into consideration when caring for patients in primary care. Validated questions to identify deprivation in primary-care practices are still lacking. For both clinical and research purposes, this study therefore aims to develop and validate a standardized instrument measuring both material and social deprivation at an individual level. Methods: The Deprivation in Primary Care Questionnaire (DiPCare-Q) was developed using qualitative and quantitative approaches between 2008 and 2011. A systematic review identified 199 questions related to deprivation. Using judgmental item quality, these were reduced to 38 questions. Two focus groups (primary-care physicians, and primary-care researchers), structured interviews (10 laymen), and think aloud interviews (eight cleaning staff) assured face validity. Item response theory analysis was then used to derive the DiPCare-Q index using data obtained from a random sample of 200 patients who were to complete the questionnaire a second time over the phone. For construct and criterion validity, the final 16 questions were administered to a random sample of 1,898 patients attending one of 47 different private primary-care practices in western Switzerland (validation set) along with questions on subjective social status (subjective SES ladder), education, source of income, welfare status, and subjective poverty. Results: Deprivation was defined in three distinct dimensions (table); material deprivation (eight items), social deprivation (five items) and health deprivation (three items). Item consistency was high in both the derivation (KR20 = 0.827) and the validation set (KR20 = 0.778). The DiPCare-Q index was reliable (ICC = 0.847). For construct validity, we showed the DiPCare-Q index to be correlated to patients' estimation of their position on the subjective SES ladder (rs = 0.539). This position was correlated to both material and social deprivation independently suggesting two separate mechanisms ... |
| نوع الوثيقة: | conference object |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/isbn/1424-4985; https://serval.unil.ch/notice/serval:BIB_C126B1C2F93C; http://www.medicalforum.ch/docs/SMF/archiv/de/2012/Suppl_58.pdf |
| الاتاحة: | https://serval.unil.ch/notice/serval:BIB_C126B1C2F93C http://www.medicalforum.ch/docs/SMF/archiv/de/2012/Suppl_58.pdf |
| رقم الانضمام: | edsbas.A74F9E05 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |