Medical outcomes study short form 36: testing and cross-validating a second-order factorial structure for health system employees. Health Services Research | December 1, 1998| | COPYRIGHT 1998 Health Research and Educational Trust. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information) Copyright

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, ...

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