Article: Medical outcomes study short form 36: testing and cross-validating a second-order factorial structure for health system employees.

It has been recognized for some time that a need and a great demand exist for measures of physical and mental health, social and role functioning, and other general health concepts for use in evaluating healthcare (Stewart, Hays, and Ware 1988; Schroeder 1987). One of the most recently developed and promising tools is the Medical Outcomes Study (MOS) Short Form 36 (SF-36) (Ware and Sherbourne 1992). It has become the tool of choice for measuring health status (Dexter et al. 1996). Rigorous psychometric analysis of the SF-36, however, has been limited to scale reliability, precision, and validity, and the use of exploratory factor analysis or principal component analysis to ...

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