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Development of a Measure of Physician Engagement in Addressing Racial and Ethnic Health Care Disparities
Author(s) -
Alexander G. Caleb,
Lin Shang,
Sayla Maliha A.,
Wynia Matthew K.
Publication year - 2008
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/j.1475-6773.2007.00780.x
Subject(s) - scale (ratio) , ethnic group , health care , psychology , face validity , health equity , data collection , empowerment , medicine , nursing , family medicine , clinical psychology , psychometrics , public health , sociology , anthropology , political science , law , statistics , physics , mathematics , quantum mechanics , economics , economic growth
Objective. To develop a measure of physician engagement in addressing health care disparities. Data Sources/Study Design. Cross‐sectional survey of a national sample of physicians assessing each hypothesized component of engagement (Awareness, Reflection/Empowerment, and Action [AREA]). Data Collection/Extraction Methods. Results examined using factorial analysis; predictive validity of final scale examined among highly engaged physicians. Principal Findings. A nine‐item scale derived from the AREA model has face validity, content validity, and applicability to a diverse group of physicians in measuring engagement. Partial correlations confirmed the mediating role of Reflection and/or Empowerment between Awareness and Action. Use of the scale among expert physicians suggests it reliably detects highly engaged physicians. Conclusions. A nine‐item survey can measure physician engagement in addressing health care disparities.