A Doctor Will See You Now: Physician-Patient Relationships and Clinical Decisions
A Doctor Will See You Now: Physician-Patient Relationships and Clinical Decisions
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医生现在会见您：医患关系和临床决策
DOI：
10.3386/w22666
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
D. Carusi
中科院分区：
文献类型：
--
作者：
Erin M. Johnson;M. Rehavi;David C. Chan;D. Carusi
我们估计在治疗医生与随机分配的情况下医患关系对临床决策的影响。产科医生在接生与自己有临床关系的患者（“自己的患者”）时，比接生与自己没有关系的患者时执行剖腹产的可能性高 25%（4 个百分点）。产科医生的决定与他们自己的患者的困难分娩所带来的更大的负效用是一致的。经过一系列困难的分娩后，产科医生更有可能对自己的患者进行剖腹产，这可以解释整个患者的影响。
We estimate the effect of physician-patient relationships on clinical decisions in a setting where the treating physician is as good as randomly assigned. OBs are 25% (4 percentage points) more likely to perform a C-section when delivering patients with whom they have a pre-existing clinical relationship (their “own patients”) than when delivering patients with whom they had no prior relationship. OBs’ decisions are consistent with receiving greater disutility from their own patients’ difficult labors. After a string of difficult labors, OBs are more likely to perform C-sections on their own patients, and this can explain the entire own patient effect.
护理连续性与医疗程序过度使用之间的关联。
影响因子：
39
作者：
Romano MJ;Segal JB;Pollack CE
通讯作者：
Pollack CE
影响因子：
9.8
作者：
Nijagal MA;Kuppermann M;Nakagawa S;Cheng Y
通讯作者：
Cheng Y