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KMID : 0388320230300040437
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Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 4 p.437 ~ p.448
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Development of a Quality Assessment Tool for Hypertension Management by Public Healthcare Providers: A Cross-Sectional Survey
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Song Young-Shin
Seo Ka-Woun
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Abstract
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Purpose: This study aimed to develop and assess the validity of a quality assessment tool for hypertensionmanagement (QAT-HTN), to evaluate the quality of hypertension management by public healthcare providersworking in community healthcare centers.
Methods: The QAT-HTN was distributed to 528 patients with HTN. Theconstruct validity (exploratory and confirmatory factor analyses), internal consistency reliability, and concurrentvalidity of the QAT-HTN were evaluated.
Results: A six-subscale measurement model of the QAT-HTN involvingblood pressure (BP) control, regular checkups and medicine education, complication prevention and assessment,BP measurement, and lifestyle management was validated using exploratory and confirmatory factor analyses. Concurrent validity was evaluated based on correlations with HTN self-care behavior. The Cronbach’s ?coefficient for internal consistency was .92.
Conclusion: The QAT-HTN was found to be a reliable and validmeasure of the quality of HTN management in Korean community healthcare centers.
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KEYWORD
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Disease management, Hypertension, Public health, Quality improvement, Validation study
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