A SCALE TO MEASURE PHYSICIAN BELIEFS ABOUT PSYCHOSOCIAL-ASPECTS OF PATIENT-CARE
A SCALE TO MEASURE PHYSICIAN BELIEFS ABOUT PSYCHOSOCIAL-ASPECTS OF PATIENT-CARE
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DOI：
10.1016/0277-9536(84)90376-9
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发表时间：
1984-01-01
影响因子：
5.4
通讯作者：
MONTANO, D
中科院分区：
文献类型：
--
作者：
ASHWORTH, CD;WILLIAMSON, P;MONTANO, D
描述了一种自我报告工具的开发和初步验证，该工具旨在测量初级保健医生对患者护理的心理方面的信念。所使用的策略借鉴了心理测量学；基于已有的关于医生S角色、患者想要什么以及医生作为人对患者的反应的理论框架，构建了一个合理的量表。验证步骤比较了不同提供者群体获得的量表分数。医生信念量表的心理测量学特征是适当的；得分服从近似正态分布，平均值接近可能得分的中点。该量表得分较低，代表了一种更具心理社会性的患者护理方式。最初的结构验证是成功的；来自4个学科的医生获得了与关于这些学科的心理社会取向的期望一致的分数。本研究开发了一种可靠有效的测量工具来评估医生的心理社会信念。该工具可用于评估行为科学教学的有效性，描述专业内和专业之间医生信念的地区或其他差异，并估计提供者信念的变化。
The development and initial validation of a self-report instrument designed to measure beliefs about psychosoical aspects of patient care held by primary care physicians was described. The strategy used was borrowed from psychological measurement; a rational scale was constructed based on an existing theoretical framework concerning the physician''s role, what the patient wants and physicians'' reactions to their patients as people. The validation step compared scale scores obtained by diverse groups of providers. Psychometric characteristics of the Physician Belief Scale were adequate; scores follow an approximately normal distribution with the mean near the midpoint of possible scores. Lower scores on the scale represent a more psychosocial approach to patient care. Initial construct validation was successful; physicians from 4 disciplines obtained scores congruent with expectations about the psychosocial orientations of the disciplines. A reliable and valid measure was developed to assess physicians'' psychosocial beliefs. The instrument may be used to evaluate effectiveness of behavioral science teaching, describing regional or other differences in physician beliefs within and between specialties and estimating changes in provider beliefs.