Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making.

Karen E Lutfey; Carol L Link; Lisa D Marceau; Richard W Grant; Ann Adams; Sara Arber; Johannes Siegrist; Markus Bönte; Olaf von dem Knesebeck; John B McKinlay

Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making.

Standard

Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making. / Lutfey, Karen E; Link, Carol L; Marceau, Lisa D; Grant, Richard W; Adams, Ann; Arber, Sara; Siegrist, Johannes; Bönte, Markus; von dem Knesebeck, Olaf; McKinlay, John B.

in: MED DECIS MAKING, 2009.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Lutfey, KE, Link, CL, Marceau, LD, Grant, RW, Adams, A, Arber, S, Siegrist, J, Bönte, M, von dem Knesebeck, O & McKinlay, JB 2009, 'Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making.', MED DECIS MAKING. <http://www.ncbi.nlm.nih.gov/pubmed/19470719?dopt=Citation>

APA

Lutfey, K. E., Link, C. L., Marceau, L. D., Grant, R. W., Adams, A., Arber, S., Siegrist, J., Bönte, M., von dem Knesebeck, O., & McKinlay, J. B. (2009). Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making. MED DECIS MAKING. http://www.ncbi.nlm.nih.gov/pubmed/19470719?dopt=Citation

Vancouver

Lutfey KE, Link CL, Marceau LD, Grant RW, Adams A, Arber S et al. Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making. MED DECIS MAKING. 2009.

Bibtex

@article{20bd0043d2a249b9b26ea6961be6e761,

title = "Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making.",

abstract = "The authors examined physician diagnostic certainty as one reason for cross-national medical practice variation. Data are from a factorial experiment conducted in the United States, the United Kingdom, and Germany, estimating 384 generalist physicians' diagnostic and treatment decisions for videotaped vignettes of actor patients depicting a presentation consistent with coronary heart disease (CHD). Despite identical vignette presentations, the authors observed significant differences across health care systems, with US physicians being the most certain and German physicians the least certain (P <0.0001). Physicians were least certain of a CHD diagnoses when patients were younger and female (P <0.0086), and there was additional variation by health care system (as represented by country) depending on patient age (P <0.0100) and race (P <0.0021). Certainty was positively correlated with several clinical actions, including test ordering, prescriptions, referrals to specialists, and time to follow-up.",

author = "Lutfey, {Karen E} and Link, {Carol L} and Marceau, {Lisa D} and Grant, {Richard W} and Ann Adams and Sara Arber and Johannes Siegrist and Markus B{\"o}nte and {von dem Knesebeck}, Olaf and McKinlay, {John B}",

year = "2009",

language = "Deutsch",

}

RIS

TY - JOUR

T1 - Diagnostic certainty as a source of medical practice variation in coronary heart disease: results from a cross-national experiment of clinical decision making.

AU - Lutfey, Karen E

AU - Link, Carol L

AU - Marceau, Lisa D

AU - Grant, Richard W

AU - Adams, Ann

AU - Arber, Sara

AU - Siegrist, Johannes

AU - Bönte, Markus

AU - von dem Knesebeck, Olaf

AU - McKinlay, John B

PY - 2009

Y1 - 2009

N2 - The authors examined physician diagnostic certainty as one reason for cross-national medical practice variation. Data are from a factorial experiment conducted in the United States, the United Kingdom, and Germany, estimating 384 generalist physicians' diagnostic and treatment decisions for videotaped vignettes of actor patients depicting a presentation consistent with coronary heart disease (CHD). Despite identical vignette presentations, the authors observed significant differences across health care systems, with US physicians being the most certain and German physicians the least certain (P <0.0001). Physicians were least certain of a CHD diagnoses when patients were younger and female (P <0.0086), and there was additional variation by health care system (as represented by country) depending on patient age (P <0.0100) and race (P <0.0021). Certainty was positively correlated with several clinical actions, including test ordering, prescriptions, referrals to specialists, and time to follow-up.

AB - The authors examined physician diagnostic certainty as one reason for cross-national medical practice variation. Data are from a factorial experiment conducted in the United States, the United Kingdom, and Germany, estimating 384 generalist physicians' diagnostic and treatment decisions for videotaped vignettes of actor patients depicting a presentation consistent with coronary heart disease (CHD). Despite identical vignette presentations, the authors observed significant differences across health care systems, with US physicians being the most certain and German physicians the least certain (P <0.0001). Physicians were least certain of a CHD diagnoses when patients were younger and female (P <0.0086), and there was additional variation by health care system (as represented by country) depending on patient age (P <0.0100) and race (P <0.0021). Certainty was positively correlated with several clinical actions, including test ordering, prescriptions, referrals to specialists, and time to follow-up.

M3 - SCORING: Zeitschriftenaufsatz

ER -