Gesundheitswesen
Volume 77, Issue 10, 2015, Pages 749-756

Psychometric Testing of a New Scale Assessing the Reasons for Non-Utilisation of Health Care Services by People with Migration Backgrounds [Psychometrische Überprüfung eines Fragebogens zur Erfassung der Barrieren der Inanspruchnahme von Gesundheitsleistungen durch Personen mit Migrationshintergrund] (Article)

Maier I. , Kriston L. , Härter M. , Hölzel L.P. , Bermejo I.*
  • a Abteilung für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Germany
  • b Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
  • c Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany
  • d Abteilung für Psychiatrie und Psychotherapie, Universitätsklinikum Freiburg, Freiburg, Germany
  • e Celenus Kiniken GmbH, Klinische Entwicklung und Qualität, Moltkestrae 27, Offenburg, 77654, Germany

Abstract

Background: In Germany live a lot of migrants. Cultural and migration specific aspects seem to have an effect on utilisation of health care. There are no instruments that measure such factors of influence. Methods: A systematic literature research or article that identify the difficulties of the migrants in using the health care system, was made. The relevant aspects were explored during a health related opinion survey of migrants from former USSR, Turkey, Italy and Spain. The psychometric qualities of this questionnaire were investigated with factor and reliability analyses. Results: There were 24 reasons identified for non-utilisation health care. They were combined in a questionnaire. The factor analysis showed 2-factor structure (janguage und information related Reasons Chronbach's α=0.928 and experience with/attitude toward health care system, Chronbach's α=0.879). Furthermore, there was a total scale with Chronbach's α=0.945. The acceptance was between 80.0 and 96.3%. Conclusions: The results confirm the psychometric quality of this measuring instrument. For further generalisability more verification will be necessary.

Author Keywords

psychometric testing Migration culture reasons for non-utilisation of health care services

Index Keywords

Germany human middle aged statistics and numerical data Aged ethnology procedures Young Adult Humans psychology male female reproducibility Reproducibility of Results Psychometrics sensitivity and specificity psychometry adult Utilization Review patient attitude Patient Acceptance of Health Care
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84946489430&doi=10.1055%2fs-0034-1395641&partnerID=40&md5=4939f1e76e5c29185f73ac5e001eb9d4
DOI: 10.1055/s-0034-1395641
ISSN: 09413790
Cited by: 1
Original Language: German