Propiedades psicométricas del cuestionario de evaluación motivacional del proceso de aprendizaje (EMPA) en estudiantes de nivel secundario del departamento de Puno – 2021

El presente estudio de investigación tuvo como objetivo analizar las propiedades psicométricas del cuestionario de evaluación motivacional del proceso de aprendizaje (EMPA). El estudio es de tipo psicométrico con un diseño no experimental de corte trasversal y de un enfoque cuantitativo, aplicado en una muestra no probabilística de 1110 estudiantes, de ambos sexos, entre las edades de 11 a 17 años, de instituciones del nivel secundario. El cuestionario cuenta con 33 reactivos divididos en dos dimensiones, con una escala de tipo Likert. Los resultados demuestran que el cuestionario (EMPA), posee un índice de validez de V de Aiken (0.99) cuyo valor evidencia que el instrumento posee un alto nivel de validez, basándose mediante la evaluación de 4 criterios (claridad, contexto, congruencia y dominio del constructo) brindado por siete jueces expertos. El análisis factorial confirmatorio evidencia un constructo de dos factores con índices que representan un mejor ajuste de modelo en contraste con la estructura original (CMIN = 1867.707; DF= 349; P= 0.000; CMIN/DF = 5.352; NFI = .889; RFI= .871; IFI=.908; TLI=.892; CFI=.907 y RMSEA= 0.062), en la confiabilidad, se encontró un coeficiente de Alpha de Cronbach de (α = 0.952). dando a conocer excelente fiabilidad instrumental. Se concluye que el cuestionario presenta adecuadas propiedades psicométricas de validez y confiabilidad.JULIACAEscuela Profesional de PsicologíaPsicología educativ

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially