Reliance on high technology among senior medical students

被引:15
作者
Merrill, JM [1 ]
Lorimor, RJ [1 ]
Thornby, JI [1 ]
Vallbona, C [1 ]
机构
[1] Baylor Coll Med, Dept Family & Community Med, Houston, TX 77030 USA
关键词
high technology; medical students; overuse; personal characteristics;
D O I
10.1097/00000441-199801000-00007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To gain a better understanding of senior medical students who perceive high-technology medicine as the desirable form of medical practice, we developed and evaluated a structural equation model. Intolerance to clinical uncertainty, Machiavellianism, and authoritarianism characterized students who scored higher on reliance on high-technology medicine. High scorers also tended to have a negative orientation toward patients' psychological problems and were unlikely to choose careers in primary care medicine. Students who perceive high technology as a panacea in clinical medicine share personal traits and attitudes toward patients that are not conducive to achieving the national goal of a 50:50 ratio between primary and non-primary care physicians.
引用
收藏
页码:35 / 39
页数:5
相关论文
共 20 条
[1]   THE OUTCOMES AND COSTS OF CARE FOR ACUTE LOW-BACK-PAIN AMONG PATIENTS SEEN BY PRIMARY-CARE PRACTITIONERS, CHIROPRACTORS, AND ORTHOPEDIC SURGEONS [J].
CAREY, TS ;
GARRETT, J ;
JACKMAN, A ;
MCLAUGHLIN, C ;
FRYER, J ;
SMUCKER, DR ;
CURTIS, P ;
DARTER, J ;
DEFRIESE, G ;
EVANS, A ;
HADLER, N ;
HUNTER, G ;
JOINES, J ;
KALSBEEK, W ;
KONRAD, T ;
MCNUTT, R ;
RICKETTS, T ;
TAYLOR, D .
NEW ENGLAND JOURNAL OF MEDICINE, 1995, 333 (14) :913-917
[2]  
CHRISTIE R, 1970, STUD MACHIAVELLIAN, P358
[3]   APPLYING BRAKES TO THE RUNAWAY AMERICAN HEALTH-CARE SYSTEM - A PROPOSED AGENDA [J].
DAVIES, NE ;
FELDER, LH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 263 (01) :73-76
[4]  
Dexter P. R., 1996, JGIM, V11, P132
[5]  
Eliot T.S., 1952, COLLECTED POEMS 1909, P96
[6]   WHY DOCTORS DO WHAT THEY DO - DETERMINANTS OF PHYSICIAN BEHAVIOR [J].
HARRIS, JS .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1990, 32 (12) :1207-1220
[7]   OBSTETRICIANS PRIOR MALPRACTICE EXPERIENCE AND PATIENTS SATISFACTION WITH CARE [J].
HICKSON, GB ;
CLAYTON, EW ;
ENTMAN, SS ;
MILLER, CS ;
GITHENS, PB ;
WHETTENGOLDSTEIN, K ;
SLOAN, FA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (20) :1583-1587
[8]   FORECAST 2000 - A PREDICTION OF SKILLS, KNOWLEDGE, AND ABILITIES REQUIRED BY SENIOR MEDICAL-TREATMENT FACILITY LEADERS INTO THE 21ST-CENTURY [J].
HUDAK, RP ;
BROOKE, PP ;
FINSTUEN, K .
MILITARY MEDICINE, 1994, 159 (07) :494-500
[9]   CHARACTERISTICS OF POTENTIAL PLAINTIFFS IN MALPRACTICE LITIGATION [J].
HUYCKE, LI ;
HUYCKE, MM .
ANNALS OF INTERNAL MEDICINE, 1994, 120 (09) :792-798
[10]   STABILITY OF MEDICAL SPECIALTY SELECTION AT THE UNIVERSITY-OF-KENTUCKY [J].
JARECKY, RK ;
SCHWARTZ, RW ;
HALEY, JV ;
DONNELLY, MB .
ACADEMIC MEDICINE, 1991, 66 (12) :756-761