Osborne C E
Med Care. 1977 Jun;15(6):465-74. doi: 10.1097/00005650-197706000-00002.
The joint Committee on Quality Assurance developed and validated by expert opinion a list of criteria for each of seven areas of ambulatory child health care: well-child supervision in four age ranges: bith to 1 year, 1 through 5 years, 6 through 12 years, and 13 through 18 years; and three diseases: bronchial asthma, tonsillopharyngitis, and urinary tract infection in the female. Each physician was scored on a list of criteria for each of the seven areas. The relationship among the areas was studied by correlating the scores on these criteria. The degrees of the relationships among the seven areas of care, and the reliability of each list of criteria are reported. All relationships were positive. Various age ranges of health supervision were more strongly related to one another than to any of the diseases. Individual diseases were more strongly related to one another than to health supervision. Reliabilities of each list ranged from .74 to .95. All correlations between areas were positive and, except for health supervision (birth to one year) with the three diseases, significant (p less than.01). These high correlations would imply a great deal of homogeneity among health care areas of ambulatory child health care.
四个年龄段的儿童健康监测：出生至1岁、1至5岁、6至12岁以及13至18岁；以及三种疾病：支气管哮喘、扁桃体咽炎和女性尿路感染。每位医生根据这七个领域中每个领域的标准清单进行评分。通过对这些标准的评分进行相关性分析，研究了各领域之间的关系。报告了七个保健领域之间关系的程度以及每个标准清单的可靠性。所有关系均为正相关。不同年龄段的健康监测彼此之间的相关性比与任何一种疾病的相关性更强。个别疾病之间的相关性比与健康监测的相关性更强。每个清单的可靠性范围为0.74至0.95。各领域之间的所有相关性均为正相关，除了出生至1岁的健康监测与三种疾病之间的相关性外，其他相关性均具有显著性（p小于0.01）。这些高度相关性意味着儿童门诊保健的各个保健领域之间存在很大的同质性。
