Karen E Lutfey
Biographic Data
| ID | 330105 |
|---|---|
| NAME | Karen E Lutfey |
| GIVEN NAMES | Karen E |
| FAMILY NAME | Lutfey |
| SIGNATURE | LUTFEY K E |
| AFFILIATIONS | New England Research Institutes |
| VERIFIED | No |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 87 |
| AUTHOR COUNT | 10 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2012 |
| H-INDEX | 6 |
Gendered Uncertainty and Variation in Physicians’ Decisions for Coronary Heart Disease
Nonmedical factors and diagnostic certainty contribute to variation in clinical decision making, but the process by which this occurs remains unclear. We examine how physicians’ interpretations of patient sex-gender affect diagnostic certainty and, in turn, decision making for coronary heart disease. Data are from a factorial experiment of 256 physicians who viewed 1 of 16 video vignettes with different patient-actors presenting the same symptoms…
Influences of organizational features of healthcare settings on clinical decision making
A proliferating literature documents cross-national variation in medical practice and seeks to explain observed differences in terms of the presence of certain kinds of healthcare systems, economic, and cultural differences between countries. Less is known about how providers themselves understand these influences and perceive them as relevant to their clinical work. Using qualitative data from a cross-national factorial experiment in the United …
What do physicians gain (and lose) with experience? Qualitative results from a cross-national study of diabetes
Examining Critical Health Policy Issues within and beyond the Clinical Encounter
Among notable issues in health care policy and practice over the past 50 years have been those centered on the changing dynamics in clinical encounters, predominantly the relationship between physicians and patients and access to health care. Patient roles have become more active, diverse, long-term, and risk-based, while patient-provider relationships are multifaceted, less paternalistic, and more pivotal to health outcomes. Extensive literature…
Physician Cognitive Processing as a Source of Diagnostic and Treatment Disparities in Coronary Heart Disease
Literature on health disparities documents variations in clinical decision-making across patient characteristics, physician attributes, and among health care systems. Using data from a vignette-based factorial experiment of 256 primary care providers, we examine the cognitive basis of disparities in the diagnosis and treatment of coronary heart disease (CHD). We explore whether previously observed disparities are due to physicians (1) not fully c…
Prevalence and Correlates of Sexual Activity and Function in Women
What happens along the diagnostic pathway to CHD treatment? Qualitative results concerning cognitive processes
Extensive research on health disparities documents persistent differential diagnosis and treatment of many conditions according to patient characteristics, physician attributes, and healthcare systems. Less is known about how physicians arrive at their decisions. We use qualitative data from a vignette-based factorial experiment to examine how physicians reason through and account for their clinical decisions, and how variations arise despite the…
How are patient characteristics relevant for physicians' clinical decision making in diabetes? An analysis of qualitative results from a cross-national factorial experiment
Using Focus Groups to Improve the Validity of Cross-National Survey Research
In this article, the authors demonstrate how qualitative methods can form a foundation for quantitative research by improving instrument validity, informing the data collection process, and improving cost-effectiveness in a study of physician decision making. To test terminology, applicability, and comprehension of a quantitative questionnaire for doctors in the United States and United Kingdom, each country's researchers conducted physician focu…
Ambiguities of chronic illness management and challenges to the medical error paradigm
Examining Critical Health Policy Issues within and beyond the Clinical Encounter
Among notable issues in health care policy and practice over the past 50 years have been those centered on the changing dynamics in clinical encounters, predominantly the relationship between physicians and patients and access to health care. Patient roles have become more active, diverse, long-term, and risk-based, while patient-provider relationships are multifaceted, less paternalistic, and more pivotal to health outcomes. Extensive literature…
How are patient characteristics relevant for physicians' clinical decision making in diabetes? An analysis of qualitative results from a cross-national factorial experiment
Ambiguities of chronic illness management and challenges to the medical error paradigm
Physician Cognitive Processing as a Source of Diagnostic and Treatment Disparities in Coronary Heart Disease
Literature on health disparities documents variations in clinical decision-making across patient characteristics, physician attributes, and among health care systems. Using data from a vignette-based factorial experiment of 256 primary care providers, we examine the cognitive basis of disparities in the diagnosis and treatment of coronary heart disease (CHD). We explore whether previously observed disparities are due to physicians (1) not fully c…
Prevalence and Correlates of Sexual Activity and Function in Women
What happens along the diagnostic pathway to CHD treatment? Qualitative results concerning cognitive processes
Extensive research on health disparities documents persistent differential diagnosis and treatment of many conditions according to patient characteristics, physician attributes, and healthcare systems. Less is known about how physicians arrive at their decisions. We use qualitative data from a vignette-based factorial experiment to examine how physicians reason through and account for their clinical decisions, and how variations arise despite the…
Influences of organizational features of healthcare settings on clinical decision making
A proliferating literature documents cross-national variation in medical practice and seeks to explain observed differences in terms of the presence of certain kinds of healthcare systems, economic, and cultural differences between countries. Less is known about how providers themselves understand these influences and perceive them as relevant to their clinical work. Using qualitative data from a cross-national factorial experiment in the United …
Gendered Uncertainty and Variation in Physicians’ Decisions for Coronary Heart Disease
Nonmedical factors and diagnostic certainty contribute to variation in clinical decision making, but the process by which this occurs remains unclear. We examine how physicians’ interpretations of patient sex-gender affect diagnostic certainty and, in turn, decision making for coronary heart disease. Data are from a factorial experiment of 256 physicians who viewed 1 of 16 video vignettes with different patient-actors presenting the same symptoms…
What do physicians gain (and lose) with experience? Qualitative results from a cross-national study of diabetes
Using Focus Groups to Improve the Validity of Cross-National Survey Research
In this article, the authors demonstrate how qualitative methods can form a foundation for quantitative research by improving instrument validity, informing the data collection process, and improving cost-effectiveness in a study of physician decision making. To test terminology, applicability, and comprehension of a quantitative questionnaire for doctors in the United States and United Kingdom, each country's researchers conducted physician focu…
Ambiguities of chronic illness management and challenges to the medical error paradigm
How are patient characteristics relevant for physicians' clinical decision making in diabetes? An analysis of qualitative results from a cross-national factorial experiment
Prevalence and Correlates of Sexual Activity and Function in Women
What happens along the diagnostic pathway to CHD treatment? Qualitative results concerning cognitive processes
Extensive research on health disparities documents persistent differential diagnosis and treatment of many conditions according to patient characteristics, physician attributes, and healthcare systems. Less is known about how physicians arrive at their decisions. We use qualitative data from a vignette-based factorial experiment to examine how physicians reason through and account for their clinical decisions, and how variations arise despite the…
What do physicians gain (and lose) with experience? Qualitative results from a cross-national study of diabetes
Examining Critical Health Policy Issues within and beyond the Clinical Encounter
Among notable issues in health care policy and practice over the past 50 years have been those centered on the changing dynamics in clinical encounters, predominantly the relationship between physicians and patients and access to health care. Patient roles have become more active, diverse, long-term, and risk-based, while patient-provider relationships are multifaceted, less paternalistic, and more pivotal to health outcomes. Extensive literature…
Physician Cognitive Processing as a Source of Diagnostic and Treatment Disparities in Coronary Heart Disease
Literature on health disparities documents variations in clinical decision-making across patient characteristics, physician attributes, and among health care systems. Using data from a vignette-based factorial experiment of 256 primary care providers, we examine the cognitive basis of disparities in the diagnosis and treatment of coronary heart disease (CHD). We explore whether previously observed disparities are due to physicians (1) not fully c…
Gendered Uncertainty and Variation in Physicians’ Decisions for Coronary Heart Disease
Nonmedical factors and diagnostic certainty contribute to variation in clinical decision making, but the process by which this occurs remains unclear. We examine how physicians’ interpretations of patient sex-gender affect diagnostic certainty and, in turn, decision making for coronary heart disease. Data are from a factorial experiment of 256 physicians who viewed 1 of 16 video vignettes with different patient-actors presenting the same symptoms…
Influences of organizational features of healthcare settings on clinical decision making
A proliferating literature documents cross-national variation in medical practice and seeks to explain observed differences in terms of the presence of certain kinds of healthcare systems, economic, and cultural differences between countries. Less is known about how providers themselves understand these influences and perceive them as relevant to their clinical work. Using qualitative data from a cross-national factorial experiment in the United …
Medicine (10 works) · Psychology (10 works) · Healthcare cost, quality, practices (6 works) · Health care (5 works) · Primary Care and Health Outcomes (5 works) · Social Psychology (5 works) · Nursing (4 works) · Political science (4 works) · Population (4 works) · Qualitative research (4 works)