Clinical Styles and Motivation: A Study of Laboratory Test Use
Clinical Styles and Motivation: A Study of Laboratory Test Use
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临床风格和动机：实验室测试使用的研究
作者：
D. Hardwick;P. Vertinsky;R. Barth;V. F. Mitchell;M. Bernstein;I. Vertinsky
该研究报告在本文检查临床推理风格与重点实验室的利用。80名医生的分层样本参与了模拟患者管理问题的解决方案。分析的重点是按执业环境（例如，执业医师与培训医师）的函数排序的实验室检查组合的差异。该研究还考察了医生的反应，强加限制的订购，以及行为，当无限订购能力提供。总的来说，从分析中出现的数据概况表明了医生决策策略的多样性，并指出有必要对任何限制医疗诊断程序的一般方案采用谨慎和灵活的方法。
The study reported in this paper examines clinical reasoning styles with a focus on laboratory utilization. A stratified sample of 80 physicians participated in the solution of a simulated patient management problem. The analysis focuses on variation in the portfolio of laboratory tests ordered as a function of practice setting (e.g., physicians in practice versus physicians in training). The study also examines the response of physicians to the imposition of constraints on ordering, as well as behavior, when unlimited ordering capacity is provided. Overall, the data profiles emerging from the analysis indicate the variety inherent in physician decision-making strategies, and point to the necessity of employing a cautious and flexible approach toward any general scheme of constraints upon medical diagnostic procedures.