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Developing a scale for measuring professional equity among Canadian physicians.

Roy Thomas Dobson1, Rein Lepnurm, Elmer Struening

  • 1College of Pharmacy and Nutrition, University of Saskatchewan, 110 Science Place, Saskatoon, Saskatchewan, Canada S7N 5C9. roy.dobson@usask.ca

Social Science & Medicine (1982)
|May 17, 2005
PubMed
Summary

This study developed and validated a reliable measure for professional equity, assessing financial, intrinsic, and recognition components in Canadian physicians. This tool offers a nuanced approach to understanding physician well-being and job satisfaction.

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Area of Science:

  • Medical Sociology
  • Occupational Health Psychology

Background:

  • Professional equity is a critical determinant of physician well-being and job satisfaction.
  • Existing measures often lack specificity or fail to capture the multifaceted nature of professional equity.

Purpose of the Study:

  • To develop and validate a summative measure of professional equity.
  • To assess three key components: financial, intrinsic, and recognition equity.

Main Methods:

  • Stratified sampling of 8375 Canadian physicians, with 2749 usable responses.
  • Exploratory and confirmatory factor analysis to group items into constructs.
  • Reliability testing using Cronbach's alpha and inter-item correlations.

Main Results:

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  • A 15-item summative scale for professional equity demonstrated high reliability (Cronbach's alpha=0.86).
  • Sub-scales also showed strong reliability: financial equity (0.91), intrinsic equity (0.86), and recognition equity (0.70).

    • Conclusions:

    • The developed measures effectively assess distinct aspects of professional equity in physicians.
    • This validated instrument advances beyond general effort-reward scales for a more precise understanding of physician equity.