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.


METHODS
Cross-sectional survey of a national sample of physicians assessing each hypothesized component of engagement (Awareness, Reflection/Empowerment, and Action [AREA]).


METHODS
Results examined using factorial analysis; predictive validity of final scale examined among highly engaged physicians.


RESULTS
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.
Alexander
G Caleb
GC
The University of Chicago, 5841 S. Maryland, MC 2007, Chicago, IL 60637, USA.
Lin
Shang
S
Sayla
Maliha A
MA
Wynia
Matthew K
MK
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001364:Awareness; D003430:Cross-Sectional Studies; D005006:Ethnicity; D005260:Female; D054625:Healthcare Disparities / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology*; D011209:Power, Psychological; D044469:Racial Groups; D011795:Surveys and Questionnaires