the development of instruments to measure the work disability assessment behaviour of insurance physicians开发的仪器来测量工作残疾保险医师的评估行为.pdfVIP

Steenbeek et al. BMC Public Health 2011, 11:1 /1471-2458/11/1 RESEARCH ARTICLE Open Access The development of instruments to measure the work disability assessment behaviour of insurance physicians 1* 2,4 3 2,4 3,4 Romy Steenbeek , Antonius JM Schellart , Henny Mulders , Johannes R Anema , Herman Kroneman , Jan Besseling1 Abstract Background: Variation in assessments is a universal given, and work disability assessments by insurance physicians are no exception. Little is known about the considerations and views of insurance physicians that may partly explain such variation. On the basis of the Attitude - Social norm - self Efficacy (ASE) model, we have developed measurement instruments for assessment behaviour and its determinants. Methods: Based on theory and interviews with insurance physicians the questionnaire included blocks of items concerning background variables, intentions, attitudes, social norms, self-efficacy, knowledge, barriers and behaviour of the insurance physicians in relation to work disability assessment issues. The responses of 231 insurance physicians were suitable for further analysis. Factor analysis and reliability analysis were used to form scale variables and homogeneity analysis was used to form dimension variables. Thus, we included 169 of the 177 original items. Results: Factor analysis and reliability analysis yielded 29 scales with sufficient reliability. Homogeneity analysis yielded 19 dimensions. Scales and dimensions fitted with the concepts of the ASE model. We slightly modified the ASE model by dividing behaviour into two blocks: behaviour that reflects the assessment process and behaviour that reflects assessment behaviour