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Physician behavior as a determinant of utilization patterns

The case of abortion

Dados Bibliográficos

ID11031317
AutoresConstance A Nathanson, M H Becker
Ano1978
Volume68
Fascículo11
Páginas1104-1114
Data de publicação1978-11-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.68.11.1104
PMID717619
OpenAlexW2104345794
IdiomaEN
Citações recebidas4
Referências citadas7

Health services utilization may be influenced by the structure of the health system and the behavior of health professionals as well as by the actions of individual patients. This research examines the responses of obstetricians toward women seeking abortion. The population for this study includes all obstetrician-gynecologists with any private practice in Maryland during 1975 (473). Each responding physician (443) was presented with a case history vignette describing, in a telephone interview, a woman who is pregnant and considering an abortion. The sociodemographic characteristics of the woman were systematically varied to determine effects of patient attributes on physicians' patient management decisions. Decisions to refer the patient or to participate personally in her care were found to be associated most strongly with the patients' financial resources. Three hundred and twelve obstetricians returned a mail questionnaire, probing their own attitudes and characteristics. Physicians' liberal or conservative attitudes toward expansion of reproductive health care services and their level of disturbance by the abortion procedure were also influential in these patient management decisions. Simultaneous examination of both patient and physician characteristics indicated that the former had the greater weight in accounting for referral decisions

Abortion · Environmental health · Family medicine · Family planning · Health care · Population · Pregnancy · Public health · Referral · Research methodology · Vignette · Healthcare Policy and Management · Medicine · Nursing · Psychology · Reproductive Health and Contraception · Reproductive Health and Technologies · Social Psychology

  • The patient's view of the role of the primary care physician in abortion

    Rebecca Rosen, R H Rosen•American Journal of Public Health•1977

  • The elderly and their doctors

    Open Access•Earle L Snider•Social Science & Medicine Part A…•1980

  • The elderly and their doctors

    Open Access•Earle L Snider•Social Science & Medicine Medical…•1980

  • Political self-characterization of US women physicians

    Open Access•Emily Frank, Erica Frank•Social Science & Medicine•1999

  • The patient's view of the role of the primary care physician in abortion

    Rebecca Rosen, R H Rosen•American Journal of Public Health•1977

  • The Use of Vignettes in Survey Research

    Cheryl S Alexander, Cheryl Alexander et al.•Public Opinion Quarterly•1978

  • Some Approaches and Problems in the Study of the Use of Services--An Overview

    John B Mckinlay•Journal of Health and Social…•1972

  • Some Contingencies of the Moral Evaluation and Control of Clientele

    Julius A Roth•American Journal of Sociology•1972

Obras citantes distintas4
Citações por ano0,08
Intervalo de citações1977 - 1999 (23)
Velocidade de citaçãohistorical
Altamente citadoNão
Tipos de citaçãoNeutras: 3
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