Do cardiologists have higher thresholds for recommending coronary arteriography than family physicians?
作者信息
Young M J, Fried L S, Eisenberg J, Hershey J, Williams S
机构信息
Medical College of Wisconsin, Milwaukee 53226.
出版信息
Health Serv Res. 1987 Dec;22(5):623-35.
Abstract
The purpose of this study was to use a new model of decision making to understand variability in physicians' utilization of diagnostic tests. We studied physicians' recommendations for coronary arteriography in hypothetical patients with chest pain by analyzing responses of 235 cardiologists and family physicians. Thresholds for testing were derived by obtaining estimates of the probability of disease and recommendations for coronary arteriography before and after an exercise test. We found that cardiologists compared with family practitioners had a significantly higher decision threshold and recommended coronary arteriography in fewer patients. These findings suggest that analyzing physicians' decision-making thresholds may be used to characterize differences in the practice behavior of groups of physicians.
摘要
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2
Use of the cardiac-catheterization laboratory in a defined population.
N Engl J Med. 1980 Nov 27;303(22):1273-7. doi: 10.1056/NEJM198011273032205.
3
The threshold approach to clinical decision making.临床决策的阈值方法。
N Engl J Med. 1980 May 15;302(20):1109-17. doi: 10.1056/NEJM198005153022003.
4
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5
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6
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7
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8
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9
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