Hulka B S, Zyzanski S J
Med Care. 1982 Jun;20(6):649-53. doi: 10.1097/00005650-198206000-00011.
This communication discusses more than a decade of developments in the measurements of attitudes toward physicians and medical care. Particular emphasis is given to a scale first reported in 1970 and to a 1981 publication attempting to validate this scale. The analytic strategies proposed as validation techniques are reviewed with respect to their technical properties, underlying assumptions and interpretability. Constraints on each of these features are noted. The most restrictive feature of these analyses is the presumption that validity can be achieved only through a unidimensional framework. Attitudes toward medical care are based on a diversity of substantive issues, and they are influenced by individual experiences and psychological characteristics as well as the circumstances surrounding scale administration. We propose that validation of patient attitude scales be based on a more generous conceptualization of their content and some consideration of their purpose and uses.
本通讯讨论了十多年来在对医生和医疗护理态度测量方面的进展。特别强调了1970年首次报道的一个量表以及1981年试图验证该量表的一篇出版物。针对作为验证技术提出的分析策略，从其技术特性、潜在假设和可解释性方面进行了综述。指出了这些特征各自的限制。这些分析最具限制性的特征是假定有效性只能通过单维框架来实现。对医疗护理的态度基于多种实质性问题，并且受到个人经历、心理特征以及量表施测环境的影响。我们建议，患者态度量表的验证应基于对其内容更宽泛的概念化以及对其目的和用途的一些考量。
