Abstract
Children and youth with special health care needs (CYSHCN) present an intensive use of health services resources and demand a high level of coordination between these services, communities, and families. SOCHIPE, along with other experts, generated a Complexity Classification Guideline to allocate resources according to the need of the cases through the Health Care Network.
Objective: To perform a construct validation of the Complexity Classification Guideline.
Subjects and Method: With a sample of 488 CYSHNC to whom the Classification Guideline was applied, an instrument reliability analysis was performed, in addition to an exploratory and confirmatory factor analysis.
Results: The Classification Guideline obtained a standardized Cronbach’s Alpha of 0.87; however, the RMSEA, TLI, and CFI model fit statistics were lower than expected. The MI coefficient suggested the elimination of 9 items, from which a summary Guideline of 11 items and three dimensions was generated that presented an RMSEA of 0.60; TLI of 0.970, and CFI of 0.977.
Conclusion: The study allows us to have a Summarized Complexity Classification Guideline for CYSHNC, with good psychometric properties, quick application, and easy interpretation, for application in the public health network.
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