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比较全科医生对自身健康和患者健康的风险态度:存在令人不安的差异?

Comparing GPs' risk attitudes for their own health and for their patients' : a troubling discrepancy?

作者信息

Nebout Antoine, Cavillon Marie, Ventelou Bruno

机构信息

ALISS, UR1303, INRA, Ivry-Sur-Seine, 94205, France.

KStat-consulting, Paris, 75014, France.

出版信息

BMC Health Serv Res. 2018 Apr 12;18(1):283. doi: 10.1186/s12913-018-3044-7.

DOI:10.1186/s12913-018-3044-7
PMID:29650004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5898012/
Abstract

BACKGROUND

In this paper, we report the results of risk attitudes elicitation of a French general practitioners national representative sample (N=1568).

METHODS

Willingness to take risks in four different domains (daily life, financial matters, own health and patient health) was collected through a large-scale telephone interview of GPs using self-reported 11-point Likert scale questions.

RESULTS

We uncover some specificities of the GPs population regarding their attitudes towards risk. In particular, we detect an important positive gap between their willingness to take risks in the domain of their own health and in the domain of the heath of their patients. This "patient-regarding" risk aversion is discussed with respect to its important consequences regarding medical behavior bias.

CONCLUSIONS

We confirm the self-other discrepancy found in the medical literature on physicians' behaviors and emphasize the utility of the study and measures of personality traits such as "risk attitudes" for the medical professions and for the population they address.

摘要

背景

在本文中,我们报告了对法国全科医生全国代表性样本(N = 1568)进行风险态度诱导的结果。

方法

通过对全科医生进行大规模电话访谈,使用自我报告的11点李克特量表问题,收集他们在四个不同领域(日常生活、财务事项、自身健康和患者健康)承担风险的意愿。

结果

我们发现了全科医生群体在风险态度方面的一些特点。特别是,我们发现他们在自身健康领域和患者健康领域承担风险的意愿之间存在重要的正向差距。讨论了这种“关注患者”的风险规避对医疗行为偏差的重要影响。

结论

我们证实了医学文献中关于医生行为的自我-他人差异,并强调了“风险态度”等人格特质的研究和测量对医学专业及其服务人群的实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5528/5898012/1ad7cae6ac6b/12913_2018_3044_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5528/5898012/6906a41854bd/12913_2018_3044_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5528/5898012/1ad7cae6ac6b/12913_2018_3044_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5528/5898012/6906a41854bd/12913_2018_3044_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5528/5898012/1ad7cae6ac6b/12913_2018_3044_Fig2_HTML.jpg

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Psychol Aging. 2016 Nov;31(7):711-723. doi: 10.1037/pag0000124. Epub 2016 Sep 29.
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Propensity for Risk Taking Across the Life Span and Around the Globe.毕生风险倾向与全球范围内的风险倾向。
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The Effect of Expert Feedback on Antibiotic Prescribing in Pediatrics: Experimental Evidence.专家反馈对儿科抗生素处方的影响:实验证据。
Med Decis Making. 2019 Oct;39(7):781-795. doi: 10.1177/0272989X19866699. Epub 2019 Aug 17.
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