Understanding Clinicians' Diagnostic Practices: Attitudes Toward the Utility of Diagnosis and Standardized Diagnostic Tools

Understanding Clinicians' Diagnostic Practices: Attitudes Toward the Utility of Diagnosis and Standardized Diagnostic Tools
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DOI:
10.1007/s10488-011-0334-3
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发表时间:
2011-11-01
影响因子:
2.6
通讯作者:
Hawley, Kristin M.
Hawley, Kristin M.
中科院分区:
医学3区
文献类型:
--
作者:
Jensen-Doss, Amanda;Hawley, Kristin M.

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临床医生诊断实践的数据表明,它们可能与循证指南不一致。为了更好地了解这些做法,对 1,678 名儿童临床医生进行了一项多学科调查,调查了他们对诊断和标准化诊断工具的实用性的态度。精神科医生比其他学科更有可能重视诊断,而心理学家则比其他学科更有可能重视标准化诊断工具。与其他从业者相比,私人从业者在这两个领域的看法都不太积极。两种态度量表都预测了自我报告的诊断实践,尽管对诊断效用的看法与一般诊断更相关,而对诊断工具的看法更能预测标准化工具的使用。
Data on clinician diagnostic practices suggest they may not align with evidence-based guidelines. To better understand these practices, a multidisciplinary survey of 1,678 child clinicians examined attitudes toward the utility of diagnosis and standardized diagnostic tools. Psychiatrists were more likely than other disciplines to value diagnosis, whereas psychologists were more likely than others to value standardized diagnostic tools. Private practitioners held less positive views in both domains than other practitioners. Both attitude scales predicted self-reported diagnostic practices, although views of diagnosis utility were more associated with diagnosing in general, whereas views of diagnostic tools were more predictive of standardized tool use.