Dataset Information

Development of a measure of physician engagement in addressing racial and ethnic health care disparities.

ABSTRACT:

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.

SUBMITTER: Alexander GC

PROVIDER: S-EPMC2442375 | biostudies-literature | 2008 Apr

REPOSITORIES: biostudies-literature

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Publications

Development of a measure of physician engagement in addressing racial and ethnic health care disparities.

Alexander G Caleb GC Lin Shang S Sayla Maliha A MA Wynia Matthew K MK

Health services research 20080401 2

<h4>Objective</h4>To develop a measure of physician engagement in addressing health care disparities.<h4>Data sources/study design</h4>Cross-sectional survey of a national sample of physicians assessing each hypothesized component of engagement (Awareness, Reflection/Empowerment, and Action [AREA]).<h4>Data collection/extraction methods</h4>Results examined using factorial analysis; predictive validity of final scale examined among highly engaged physicians.<h4>Principal findings</h4>A nine-item ...[more]

PMID: 18370978

Similar Datasets

Project description:ObjectiveTo assess racial and ethnic disparities in care for Medicare fee-for-service (FFS) beneficiaries and whether disparities differ between health system-affiliated physician organizations (POs) and nonaffiliated POs.Data sourcesWe used Medicare Data on Provider Practice and Specialty (MD-PPAS), Medicare Provider Enrollment, Chain, and Ownership System (PECOS), IRS Form 990, 100% Medicare FFS claims, and race/ethnicity estimated using the Medicare Bayesian Improved Surname Geocoding 2.0 algorithm.Study designUsing a sample of 16 007 POs providing primary care in 2015, we assessed racial/ethnic disparities on 12 measures derived from claims (2 cancer screenings; diabetic eye examinations; continuity of care; two medication adherence measures; three measures of follow-up visits after acute care; all-cause emergency department (ED) visits, all-cause readmissions, and ambulatory care-sensitive admissions). We decomposed these "total" disparities into within-PO and between-PO components using models with PO random effects. We then pair-matched 1853 of these POs that were affiliated with health systems to similar nonaffiliated POs. We examined differences in within-PO disparities by affiliation status by interacting each nonwhite race/ethnicity with an affiliation indicator.Data collection/extraction methodsMedicare Data on Provider Practice and Specialty identified POs billing Medicare; PECOS and IRS Form 990 identified health system affiliations. Beneficiaries age 18 and older were attributed to POs using a plurality visit rule.Principal findingsWe observed total disparities in 12 of 36 comparisons between white and nonwhite beneficiaries; nonwhites received worse care in 10. Within-PO disparities exceeded between-PO disparities and were substantively important (>=5 percentage points or>=0.2 standardized differences) in nine of the 12 comparisons. Among these 12, nonaffiliated POs had smaller disparities than affiliated POs in two comparisons (P < .05): 1.6 percentage points smaller black-white disparities in follow-up after ED visits and 0.6 percentage points smaller Hispanic-white disparities in breast cancer screening.ConclusionsWe find no evidence that system-affiliated POs have smaller racial and ethnic disparities than nonaffiliated POs. Where differences existed, disparities were slightly larger in affiliated POs.

Dataset Information

Development of a measure of physician engagement in addressing racial and ethnic health care disparities.

Objective

Data sources/study design

Data collection/extraction methods

Principal findings

Conclusions

Publications

Development of a measure of physician engagement in addressing racial and ethnic health care disparities.

Similar Datasets

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