Physician styles of patient management as a potential source of disparities: cluster analysis from a factorial experiment.
Physician styles of patient management as a potential source of disparities: cluster analysis from a factorial experiment.
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DOI：
10.1111/1475-6773.12005
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发表时间：
2013-06
影响因子：
3.4
通讯作者：
McKinlay JB
中科院分区：
文献类型：
--
作者：
Lutfey KE;Gerstenberger E;McKinlay JB
To identify styles of physician decision making (as opposed to singular clinical actions) and analyze their association with variations in the management of a vignette presentation of coronary heart disease (CHD). Primary data were collected from primary care physicians in North and South Carolina. In a balanced factorial experimental design, primary care physicians viewed one of 16 (24) video vignette presentations of CHD and provided detailed information about how they would manage the case. 256 MD primary care physicians were interviewed face-to-face in North and South Carolina. We identify 3 clusters depicting unique styles of CHD management that are robust to controls for physician (gender and level of experience) and patient characteristics (age, sex, socioeconomic status, and race) as well as key organizational features of physicians’ work settings. Physicians in Cluster 1 “Cardiac” (N=92) were more likely to focus on cardiac issues compared to their counterparts; physicians in Cluster 2 “Talkers” (N=93) were more likely to give advice and take additional medical history; while physicians in Cluster 3 “Minimalists” (N=71) were less likely than their counterparts to take action on any of the types of management behavior. Variations in styles of decision making, which encompass multiple outcome variables and extend beyond individual-level demographic predictors, may add to our understanding of disparities in health quality and outcomes.
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影响因子：
3
作者：
Kralewski, JE;Dowd, BE;Kaissi, A
通讯作者：
Kaissi, A
影响因子：
2.9
作者：
Lutfey, K
通讯作者：
Lutfey, K
影响因子：
3
作者：
KAPLAN, SH;GREENFIELD, S;WARE, JE
通讯作者：
WARE, JE
影响因子：
45.3
作者：
Lee, Stephanie J.;Joffe, Steven;Eapen, Mary
通讯作者：
Eapen, Mary
影响因子：
7
作者：
Muroff, Jordana;Edelsohn, Gail A.;Ford, Briggett C.
通讯作者：
Ford, Briggett C.