John B Mckinlay
Datos Biográficos
| ID | 3582815 |
|---|---|
| NOMBRE | John B Mckinlay |
| NOMBRES | John B |
| APELLIDO | Mckinlay |
| FIRMA | MCKINLAY J B |
| AFILIACIONES | New England Research Institutes |
| VERIFICADO | No |
| TOTAL DE OBRAS | 69 |
| TOTAL DE CITAS | 579 |
| TOTAL COMO AUTOR | 69 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1969 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2022 |
| ÍNDICE H | 13 |
Issues in the Political Economy of Health Care
John D. Stoeckle, MD
Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (Bach) Survey
The role of neighborhood characteristics in racial/ethnic disparities in type 2 diabetes
Effects of Patient Medication Requests on Physician Prescribing Behavior
BACKGROUND: Because of internet searches, advice from friends, and pharmaceutical advertising, especially direct-to-consumer advertising, patients are increasingly activated to request medications during a physician encounter. OBJECTIVES: To estimate the effect of patient requests for medications on physician-prescribing behavior, unconfounded by patient, physician, and practice-setting factors. RESEARCH DESIGN: Two experiments were conducted amo…
What are tests for? The implications of stuttering steps along the US patient pathway
Peter McEwan
From cottage industry to a dominant mode of primary care
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 …
Lean mass, muscle strength, and physical function in a diverse population of men
In spite of lower levels of lean mass, the higher levels of physical function observed among white compared with non-white men in this study appear to be broadly consistent with known racial/ethnic differences in outcomes
It's About Time
BACKGROUND: As physicians are pressured to deliver an increasing number of preventive services, follow guidelines, engage in evidence-based practice, and deliver patient-centered care in managerially driven organizations, they struggle with how much control they have over their time. METHODS: A secondary analysis was conducted with data from 3 parallel studies of clinical decision making in Germany, the United Kingdom, and the United States with …
Differences in the Diagnosis and Management of Type 2 Diabetes in 3 Countries (US, UK, and Germany)
OBJECTIVES: This article examines the diagnosis and management of type-2 diabetes when exactly the same "patient" is encountered by 192 randomly selected primary care doctors in 3 different health care systems--the United States, United Kingdom, and Germany. METHODS: We conducted a factorial experiment, employing 2 clinically authentic filmed scenarios, to examine country differences in the treatment of diabetes, while controlling the effects of …
Work stress of primary care physicians in the US, UK and German health care systems
What do physicians gain (and lose) with experience? Qualitative results from a cross-national study of diabetes
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…
Women and Men with Coronary Heart Disease in Three Countries
The blindness of those who will not see
When there is no doctor
How are patient characteristics relevant for physicians' clinical decision making in diabetes? An analysis of qualitative results from a cross-national factorial experiment
The influence of patient and doctor gender on diagnosing coronary heart disease
Using novel methods, this paper explores sources of uncertainty and gender bias in primary care doctors' diagnostic decision-making about coronary heart disease (CHD). Claims about gendered consultation styles and quality of care are re-examined, along with the adequacy of CHD models for women. Randomly selected doctors in the UK and the US (n = 112, 56 per country, stratified by gender) were shown standardised videotaped vignettes of actors port…
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…
The influence of patient's age on clinical decision-making about coronary heart disease in the USA and the UK
This paper examines UK and US primary care doctors' decision-making about older (aged 75 years) and midlife (aged 55 years) patients presenting with coronary heart disease (CHD). Using an analytic approach based on conceptualising clinical decision-making as a classification process, it explores the ways in which doctors' cognitive processes contribute to ageism in health-care at three key decision points during consultations. In each country, 56…
Patient characteristics and inequalities in doctors' diagnostic and management strategies relating to CHD
Some Approaches and Problems in the Study of the Use of Services--An Overview
A selective systematic overview is provided of the literature on the utilization of health and welfare services that appeared in the United States and Europe mainly within the last two decades. Methodological questions that appear to characterize much of the work to date are discussed and analytically distinct approaches or research strategies in the study of utilization behavior are presented. The paper traces the emergence of work in this area …
The promotion of health through planned sociopolitical change
Bringing social structure back into clinical decision making
Non-medical influences on medical decision-making
From a relationship to encounter
Patient characteristics and inequalities in doctors' diagnostic and management strategies relating to CHD
Some Contributions from the Social System to Gender Inequalities in Heart Disease
Patient assertiveness and physician decision-making among older breast cancer patients
When there is no doctor
Unmet need among disabled elders
How are patient characteristics relevant for physicians' clinical decision making in diabetes? An analysis of qualitative results from a cross-national factorial experiment
The Unexpected Influence of Physician Attributes on Clinical Decisions
UNLABELLED: This experiment was designed to determine: (1) whether patient attributes (specifically a patient's age, gender, race, and socioeconomic status) independently influence clinical decision-making; and (2) whether physician characteristics alone (such as their gender, age, race, and medical specialty), or in combination with patient attributes, influence medical decision-making. METHODS: An experiment was conducted in which 16 (= 2(4)) v…
The influence of patient and doctor gender on diagnosing coronary heart disease
Using novel methods, this paper explores sources of uncertainty and gender bias in primary care doctors' diagnostic decision-making about coronary heart disease (CHD). Claims about gendered consultation styles and quality of care are re-examined, along with the adequacy of CHD models for women. Randomly selected doctors in the UK and the US (n = 112, 56 per country, stratified by gender) were shown standardised videotaped vignettes of actors port…
The role of neighborhood characteristics in racial/ethnic disparities in type 2 diabetes
The sick role—Illness and pregnancy
The Relative Contributions of Endocrine Changes and Social Circumstances to Depression in Mid-Aged Women
John B. McKinlay, Sonja M. McKinlay, Donald Brambilla, The Relative Contributions of Endocrine Changes and Social Circumstances to Depression in Mid-Aged Women, Journal of Health and Social Behavior, Vol. 28, No. 4 (Dec., 1987), pp. 345-363
Who is Really Ignorant--Physician or Patient
Scotland. It was found that: a) there was a consistently higher level of word comprehension among the utilizers, as rated blind and independently by two physicians; b)for the utilizers only, multiparous women appeared to have a slightly higher level of comprehension than the primiparae; the physicians included in the study consistently and markedly underestimated the level of word comprehension among the lower working-class respondents. Thefindin…
Patient assertiveness in ethnically diverse older women with breast cancer
The effect of widowhood on health
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…
Work stress of primary care physicians in the US, UK and German health care systems
The Everyday Impacts of Providing Informal Care to Dependent Elders and their Consequences for the Care Recipients
Longitudinal data were used to identify the relationship between different areas of negative impact and elder and caregiver characteristics. The extent and predictors of persistence and development of negative impact in different areas and the relationship between caregiving impact and subsequent caregiving patterns, including termination of care and institutionalization of the elder, were also examined. Caregiving exerted the greatest toll on a …
How Important is Functional Status as a Predictor of Service Use by Older People
In studies of older people, it is often assumed that biophysical, or functional, status is the primary determinant of formal service use. This article reports baseline data from a longitudinal study of a community-based, linked random sample of frail elders (n = 635) and their informal caregivers (n = 429) to investigate the relative contribution of social circumstances to the use of community-based formal services. Elder respondents were categor…
Comment on 'Class Attitudes to Dental Treatment'
A brief description of a study on the utilisation of maternity and child welfare services by a lower working class subculture
The concept “patient career” as a heuristic device for making medical sociology relevant to medical students
Before Involvement--Some Questions for the Attention of Medical Sociologists
Welfare Medical Care
The sick role—Illness and pregnancy
On the Professional Regulation of Change
‘The individuals composing the ruling class possess among other things consciousness, and therefore think. In so far, therefore, as they rule as a class and determine the whole extent of an epoch, it is self evident that they do this in their whole range and thus, among other things, rule also as thinkers, as producers of ideas, and regulate the production and distribution of the ideas of their age. Consequently, their ideas are the ruling ideas …
Some Approaches and Problems in the Study of the Use of Services--An Overview
A selective systematic overview is provided of the literature on the utilization of health and welfare services that appeared in the United States and Europe mainly within the last two decades. Methodological questions that appear to characterize much of the work to date are discussed and analytically distinct approaches or research strategies in the study of utilization behavior are presented. The paper traces the emergence of work in this area …
Selected studies of the Menopause
Literature on the subject of the menopause, primarily from the past three decades, is selectively reviewed in the form of an annotated bibliography. In order to highlight particular methodological problems, the review is presented in three sections, each preceded by a brief discussion, as follows: (a) the general report of clinical observation or experience, (b) the survey, and (c) the clinical trial. Several recommendations are also made for fur…
Organizations and clients
Who is Really Ignorant--Physician or Patient
Scotland. It was found that: a) there was a consistently higher level of word comprehension among the utilizers, as rated blind and independently by two physicians; b)for the utilizers only, multiparous women appeared to have a slightly higher level of comprehension than the primiparae; the physicians included in the study consistently and markedly underestimated the level of word comprehension among the lower working-class respondents. Thefindin…
The Questionable Contribution of Medical Measures to the Decline of Mortality in the United States in the Twentieth Century
John B. McKinlay, Sonja M. McKinlay, The Questionable Contribution of Medical Measures to the Decline of Mortality in the United States in the Twentieth Century, The Milbank Memorial Fund Quarterly. Health and Society, Vol. 55, No. 3 (Summer, 1977), pp. 405-428
On the Medical-Industrial Complex
Medical care is now probably the largest industry in the United States. Total spending for it in 1976 was just on $140 billion, or 8.6 percent of the Gross National Product (GNP). With per capita costs at $638 a year, the average American who can manage to stay in the labor force now works about two months each year for the medical industry. While the GNP has increased by 18 percent in the last two years, medical-care expenditures have risen by 3…
Section 9 epidemiological and political determinants of social policies regarding the public heatlh
Epidemiological and political determinants of social policies regarding the public health
Poverty and Health
Power and illness
The Milbank Readers
Towards the Proletarianization of Physicians
The thesis of this article is that in general where most other workers were quickly and easily proletarianized, physicians—through the use of a variety of tactics at the disposal of some elite groups—have, until now, been able to postpone or minimize this process in their own case. Now, as a result of the bureaucratization which is being forced on medical practice as a consequence of the logic of capitalist expansion, physicians are slowly being …
Aging in a 'healthy' population
"The Power and Perils of "Paradigms
The Relative Contributions of Endocrine Changes and Social Circumstances to Depression in Mid-Aged Women
John B. McKinlay, Sonja M. McKinlay, Donald Brambilla, The Relative Contributions of Endocrine Changes and Social Circumstances to Depression in Mid-Aged Women, Journal of Health and Social Behavior, Vol. 28, No. 4 (Dec., 1987), pp. 345-363
Corporatization and the Social Transformation of Doctoring
Corporatization of health care is dramatically transforming the medical workplace and profoundly altering the everyday work of the doctor. In this article, the authors discuss recent changes in U.S. health care and their impact on doctoring, and outline the major theoretical explanations of the social transformation of medical work under advanced capitalism. The adequacy of the prevailing view of professionalism (Freidson's notion of professional…
How Important is Functional Status as a Predictor of Service Use by Older People
In studies of older people, it is often assumed that biophysical, or functional, status is the primary determinant of formal service use. This article reports baseline data from a longitudinal study of a community-based, linked random sample of frail elders (n = 635) and their informal caregivers (n = 429) to investigate the relative contribution of social circumstances to the use of community-based formal services. Elder respondents were categor…
The effect of widowhood on health
Medicine (56 obras) · Psychology (34 obras) · Sociology (28 obras) · Political science (23 obras) · Gerontology (21 obras) · Family medicine (20 obras) · Population (19 obras) · Health care (17 obras) · Primary Care and Health Outcomes (16 obras) · Nursing (14 obras)