Epstein A M, Begg C B, McNeil B J
Am J Public Health. 1984 Nov;74(11):1271-3. doi: 10.2105/ajph.74.11.1271.
We studied records of 351 hypertensive patients cared for by 30 internists in private office practice. We correlated the use of outpatient diagnostic tests with personal characteristics of the prescribing physicians. Doctors trained in medical schools with academic orientations used more tests than other physicians. Patterns of use were not strongly related to the number of years since medical school graduation, or physicians "intolerance of ambiguity" as measured by a standard psychological instrument. These findings suggest that certain types of training may predispose physicians to be high testers.
我们研究了30位内科医生在私人诊所治疗的351名高血压患者的病历。我们将门诊诊断测试的使用情况与开处方医生的个人特征进行了关联。在以学术为导向的医学院接受培训的医生比其他医生使用更多的测试。使用模式与医学院毕业年限或通过标准心理测试衡量的医生“对模糊性的不耐受”没有强烈关联。这些发现表明，某些类型的培训可能使医生倾向于频繁进行测试。
