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      Medición en salud: Algunas consideraciones metodológicas Translated title: Some methodological issues about measurements in health

      research-article
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      Revista médica de Chile
      Sociedad Médica de Santiago
      Delivery of health care, Research design, Statistics as topic

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          Translated abstract

          Measurement process is a part of everyday work of health professionals. Technological advances have created precise and sensitive instruments whose results are highly accurate and cast little doubts. However, health care has diversified, becoming a multidimensional and complex task. This means that new aspects, that are difficult to measure, must be addressed, such as health perception by patients or cost usefulness ratios of health actions. Therefore, clinicians and researchers must have a good perception of the quality of measures that they use in their daily work, to make the correct diagnostic, therapeutic or prognostic decisions. This article explores the operational concepts that help in the development and assessment of measuring instruments in terms of validity and truthfulness (Rev Méd Chile 2008; 136: 125-30)

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          Starting at the beginning: an introduction to coefficient alpha and internal consistency.

          Cronbach's a is the most widely used index of the reliability of a scale. However, its use and interpretation can be subject to a number of errors. This article discusses the historical development of a from other indexes of internal consistency (split-half reliability and Kuder-Richardson 20) and discusses four myths associated with a: (a) that it is a fixed property of the scale, (b) that it measures only the internal consistency of the scale, (c) that higher values are always preferred over lower ones, and (d) that it is restricted to the range of 0 to 1. It provides some recommendations for acceptable values of a in different situations.
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            Modern factor analysis

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              Modern Factor Analysis

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                Author and article information

                Journal
                rmc
                Revista médica de Chile
                Rev. méd. Chile
                Sociedad Médica de Santiago (Santiago, , Chile )
                0034-9887
                January 2008
                : 136
                : 1
                : 125-130
                Affiliations
                [01] Temuco orgnameUniversidad de La Frontera orgdiv1Facultad de Medicina orgdiv2Centro de Investigación y Gestión para la Evidencia en Salud (CIGES) Chile
                Article
                S0034-98872008000100016 S0034-9887(08)13600116
                10.4067/S0034-98872008000100016
                28d4e6e3-7e46-4e48-bdc8-c135a6dc9f1f

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 30 August 2006
                : 13 March 2007
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 20, Pages: 6
                Product

                SciELO Chile

                Categories
                ARTICULO ESPECIAL

                Research design,Delivery of health care,Statistics as topic

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