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The Effect of Medical Training Factors on Physician Utilization Behavior

Bibliographic Data

ID9101301
AuthorsRaynald Pineault (0000-0003-0115-7993, Université de Montréal, corresponding author)
Year1977
Volume15
Issue1
Pages51-67
Publication date1977-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197701000-00004
PMID834083
OpenAlexW2085310173
LanguageEN
Citations received19

The purpose of this study is to determine the influence of medical school, teaching hospital, and specialization on physicians' use of clinical and technical resources. The universe of the study consists of 34 internists practicing in the prepaid gorup practice setting of Kaiser in Portland, Oregon. The data reported here show that physicians trained in medical schools and hospitals with a scientific medical orientation generally use fewer such resources than other physicians. However, under conditions of uncertainty, that is, when diagnosis is unknown, they tend to use more services. In other words, these physicians are conservative in theri use of resourses when ambiguity is low, and liveral when ambiguity increases. Graduates of the more scientifically oriented institutions seem therefore more flexible in adjusting to the demands of the disease situation

Ambiguity · Family medicine · Health care · Medical education · Medical practice · Medical school · Medical services · Orientation (vector space) · Political science · Training (meteorology) · Computer Science · Dental Education, Practice, Research · Healthcare Policy and Management · Medicine · Psychology

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    Gary L Burkett•Medical Care•1982

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    Mark C Hornbrook, Marsha G Goldfarb•Medical Care•1981

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    Marsha G Goldfarb, Mark C Hornbrook et al.•Medical Care•1983

  • A Comparative Study of Laboratory Utilization Behavior of "On-Service" and "Off-Service" Housestaff Physicians

    George D Everett, G Everett et al.•Medical Care•1983

  • The Effect of Physician Personality on Laboratory Test Ordering for Hypertensive Patients

    STEVEN M ORNSTEIN, GARY P MARKERT et al.•Medical Care•1988

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    Kathleen N Gillespie, James C Romeis et al.•Medical Care•1989

  • Sociologic Influences on Decision-Making by Clinicians

    Open Access•John M Eisenberg•Annals of Internal Medicine•1979

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    Open Access•Gary L Freed, Donald E Pathman et al.•Maternal and Child Health Journal•1998

  • Patient Age, Visit Purpose, and the Ordering of Consultations in a Primary Care Clinic

    Open Access•William Finlay, Elizabeth J Mutran et al.•Journal of Aging and Health•1990

  • The effect of immediate access to a computerized medical record on physician test ordering

    Gregory Wilson, G A Wilson et al.•American Journal of Public Health•1982

  • The effects of physicians' training and personality on test ordering for ambulatory patients

    Arnold M Epstein, Colin B Begg et al.•American Journal of Public Health•1984

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    John M Eisenberg•Medical Care•2002

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Unique citing works19
Citations per year0,4
Citation span1979 - 2002 (24)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 9

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