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

G. Caleb Alexander, Shang Lin, Maliha A. Sayla, Matthew K. Wynia

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Pages (from-to)773-784
Number of pages12
JournalHealth services research
Issue number2
StatePublished - Apr 1 2008
Externally publishedYes



  • Health care disparities
  • Physicians
  • Race

ASJC Scopus subject areas

  • Health Policy

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