Variations Among Primary Care Physicians in Exercise Advice, Imaging, and Analgesics for Musculoskeletal Pain: Results From a Factorial Experiment
Variations Among Primary Care Physicians in Exercise Advice, Imaging, and Analgesics for Musculoskeletal Pain: Results From a Factorial Experiment
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DOI：
10.1002/acr.22143
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发表时间：
2014-01-01
影响因子：
4.7
通讯作者：
Katz, Jeffrey N.
中科院分区：
文献类型：
--
作者：
Maserejian, Nancy N.;Fischer, Michael A.;Katz, Jeffrey N.
Objectives研究是否医疗决策的评估和管理的肌肉骨骼疼痛的条件不同系统的患者或provider.MethodsWe的特点进行了平衡析因实验在美国的初级保健医生。医生（n = 192）观看了2个不同患者（演员）的疼痛视频：未诊断的坐骨神经痛症状或诊断的膝关节骨关节炎。患者性别、社会经济地位、种族、医生性别和经验的系统性差异（
ObjectiveTo examine whether medical decisions regarding evaluation and management of musculoskeletal pain conditions varied systematically by characteristics of the patient or provider.MethodsWe conducted a balanced factorial experiment among primary care physicians in the US. Physicians (n = 192) viewed 2 videos of different patients (actors) presenting with pain: undiagnosed sciatica symptoms or diagnosed knee osteoarthritis. Systematic variations in patient gender, socioeconomic status, and race and physician gender and experience (