Physician choices in the treatment of angina pectoris
| Autor: | Janet Weinglass, Richard I. Levin, Mitchell Charap |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Male
medicine.medical_specialty Attitude of Health Personnel New York Medical care Angina Pectoris Angina Nitroglycerin Physicians Surveys and Questionnaires medicine Medical Staff Hospital Humans Education Medical business.industry Optimal treatment Age Factors General Medicine Middle Aged medicine.disease Hospitalization Vignette Family medicine Clinical Competence Clinical competence business House staff Specialization |
| Zdroj: | The American journal of medicine. 79(4) |
| ISSN: | 0002-9343 |
| Popis: | Uncertainty about optimal treatment for many diseases results in heterogeneous management by definition. It was hypothesized that identifiable characteristics in a physician's background would influence the management of any such condition and thereby explain some of this heterogeneity. A vignette describing a patient with new-onset angina and a questionnaire ascertaining individual physician characteristics and management preferences were sent to attending physicians and house staff in the Department of Medicine at New York University School of Medicine. Although physicians believed very strongly that the patient had angina on the basis of the history, there was no consensus about managing the hypothetic patient. The age of the physician was the single most important predictor of management, with the younger half of the sample more likely to hospitalize (p less than 0.001), less likely to prescribe nitroglycerin as a sole therapy (p less than 0.005), and more likely to prescribe beta blockers (p less than 0.005). The era in which a physician trains may determine practices that persist for a lifetime. These findings may have important implications for medical education and the quality and cost of medical care. |
| Databáze: | OpenAIRE |
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