Development of a Measure of Physician Engagement in Addressing Racial and Ethnic Health Care Disparities

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 Collect...

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Published inHealth services research Vol. 43; no. 2; pp. 773 - 784
Main Authors Alexander, G. Caleb, Lin, Shang, Sayla, Maliha A., Wynia, Matthew K.
Format Journal Article
LanguageEnglish
Published Malden, USA Blackwell Publishing Inc 01.04.2008
Health Research and Educational Trust
Blackwell Publishing Ltd
Blackwell Science Inc
Subjects
Adult
Aged
Aged, 80 and over
Attitude of Health Personnel
Awareness
Cross-Sectional Studies
Data sources
Discriminant analysis
Doctors
Empowerment
Ethnicity
Female
Gag orders
Health care delivery
Health care disparities
Health inequalities
Healthcare Disparities - organization & administration
Humans
Male
Measurement
Medical care
Medical care quality
Medical societies
Methods
Middle Aged
Minority & ethnic groups
Physician patient relationships
Physicians
Physicians - psychology
Power, Psychological
Predictive validity
Quality management
Quality of care
race
Racial Groups
Reflection
Studies
Surveys and Questionnaires
Validity
United States > US
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Summary: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.
Bibliography:Address correspondence to G. Caleb Alexander, M.D., M.S., The University of Chicago, 5841 S. Maryland, MC 2007, Chicago, IL 60637. Dr. Alexander and Matthew K. Wynia, M.D., M.P.H., are with the MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL. Dr. Alexander and Maliha Sayla, B.A., are with the Department of Medicine, University of Chicago Hospitals, Chicago, IL. Shang Lin, Ph.D., Research Associate (Associate Professor), is with the Division of Biological Science, Department of Health Studies, Chicago, IL. Matthew K. Wynia, M.D., M.P.H., is the Director of the Institute for Ethics, American Medical Association, Chicago, IL and also with the Division of Infectious Diseases, Department of Medicine, University of Chicago Hospitals, Chicago, IL.
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0017-9124
1475-6773
DOI:10.1111/j.1475-6773.2007.00780.x