作者
John B McKinlay, Carol L Link, Karen M Freund, Lisa D Marceau, Amy B O’Donnell, KL Lutfey
发表日期
2007/3
期刊
Journal of general internal medicine
卷号
22
页码范围
289-296
出版商
Springer-Verlag
简介
Background
Health services research has documented the magnitude of health care variations. Few studies focus on provider level sources of variation in clinical decision making-for example, which primary care providers are likely to follow clinical guidelines, with which types of patient.
Objectives
To estimate: (1) the extent of primary care provider adherence to practice guidelines and the unconfounded influence of (2) patient attributes and (3) physician characteristics on adherence with clinical practice guidelines.
Design
In a factorial experiment, primary care providers were shown clinically authentic video vignettes with actors portrayed different “patients” with identical signs of coronary heart disease (CHD). Different types of providers were asked how they would manage the different “patients” with identical CHD symptoms …
引用总数
20072008200920102011201220132014201520162017201820192020202120222023202438711558113131188691681
学术搜索中的文章