University at Buffalo

About: University at Buffalo is a education organization based out in Buffalo, New York, United States. It is known for research contribution in the topics: Population & Poison control. The organization has 33773 authors who have published 63840 publications receiving 2278954 citations. The organization is also known as: UB & State University of New York at Buffalo.

Development of an Attitudes Toward Health Care Teams Scale.

Abstract: The authors describe the development and psychometric testing across three study phases of an Attitudes Toward Health Care Teams Scale. The measure contains two subscales: Quality of Care/Process (14 items) and Physician Centrality (6 items). The Quality of Care/Process subscale measures team members' perceptions of the quality of care delivered by health care teams and the quality of teamwork to accomplish this. The Physician Centrality subscale measures team members' attitudes toward physicians' authority in teams and their control over information about patients. Tests of reliability and validity demonstrate that each subscale is a strong measure of its respective underlying concept. The measure has potential for use as a research tool and as a pre- and posttest tool for educational interventions with teams and for evaluating clinically based team training programs for medical and health professions students and residents.

The analysis of several 2× 2 contingency tables

Abstract: SUMMARY Consider data arranged into k 2 x 2 contingency tables. The principal result is the derivation of a statistical test for making an inference on whether each of the k contingency tables has the same relative risk. The test is based on a conditional reference set and can be regarded as an extension of the Fisher-Irwin treatment of a single 2 x 2 contingency table. Both exact and asymptotic procedures are presented. The analysis of k 2 x 2 contingency tables is required in several contexts. The two principal ones are (i) the comparison of binary response random variables, i.e. random variables taking on the values zero or one, for two treatments, over a spectrum of different conditions or populations; and (ii) the comparison of the degree of association among two binary random variables over k different populations. Cochran (1954) has investigated this problem with respect to testing if the success probability for each of two treatments is the same for every contingency table. Cochran's recommendation is that the equality of the two success probabilities should be tested using the total number, summed over all tables, of successes for one of the treatments. Cochran considers the asymptotic distribution of the total number of successes, for one of the treatments, conditional on all marginals being fixed in every table. He recommends this technique whenever the difference between the two populations on a logistic or probit scale is nearly constant for each contingency table. The constant logistic difference is equivalent to the relative risk being equal for each table. Mantel & Haenlszel (1959), in an important paper discussing retrospective studies, have also proposed an asymptotic method for analysing several 2 x 2 contingency tables. Their worlk on this problem was evidently done independently of Cochran, for their method is exactly the same as Cochran's except for a modification dealing with the correction factor associated with a finite population. Birch (1964) and Cox (1966) clarified the problem by showing, that under the assumption of constant logistic differences for each table, same relative risk, the conditional distribution of the total number of successes, for one of the treatments, leads to a uniformly most powerful unbiased test. Birch and Cox also derived the exact probability distribution of this conditional random variable under the given model. In this paper, we investigate the more general situation where the difference between the logits in each table is not necessarily constant. Procedures are derived for making an inference with regard to the hypothesis of constant logistic differences. Both the exact and asymptotic distributions are derived for the null and nonnull cases. This problem has been discussed by several investigators. A constant logistic difference corresponds to no interaction between the treatments and the k populations. The case k = 2 corresponds to one in which Bartlett (1935) has derived both an exact and an asymptotic procedure. Norton (1945)