Do malpractice concerns, payment mechanisms, and attitudes influence test-ordering decisions?

被引：34

作者：

Birbeck, GL

Gifford, DR

Song, J

Belin, TR

Mittman, BS

Vickrey, BG

机构：

[1] Michigan State Univ, Dept Neurol, E Lansing, MI 48824 USA

[2] Michigan State Univ, Dept Epidemiol, E Lansing, MI 48824 USA

[3] Brown Univ, Dept Med, Providence, RI 02912 USA

[4] Univ Calif Los Angeles, VA Greater Los Angeles Healthcare Syst, Dept Biostat, Los Angeles, CA 90024 USA

[5] Univ Calif Los Angeles, VA Greater Los Angeles Healthcare Syst, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90024 USA

[6] Univ Calif Los Angeles, VA Greater Los Angeles Healthcare Syst, Dept Neurol, Los Angeles, CA 90024 USA

[7] Univ Calif Los Angeles, VA Greater Los Angeles Healthcare Syst, Alzheimers Dis Res Ctr, Los Angeles, CA 90024 USA

[8] RAND Corp, Santa Monica, CA 90406 USA

来源：

NEUROLOGY | 2004年 / 62卷 / 01期

关键词：

D O I：

10.1212/01.WNL.0000101709.87316.0C

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Greater understanding is needed of nonclinical factors that determine neurologists' decisions to order tests. The authors surveyed 595 US neurologists and utilized demographic information, attitude scales, and clinical scenarios to evaluate the influence of nonclinical factors on test-ordering decisions. Greater test reliance, higher malpractice concerns, and receiving reimbursement for testing were all associated with a higher likelihood of test ordering. These findings have implications for training needs and suggest malpractice worries may inflate health care costs.

引用

页码：119 / 121

页数：3

共 10 条

[1] The association of physician attitudes about uncertainty and risk taking with resource use in a Medicare HMO [J].