Document Detail


Non-clinical influences on clinical decision-making: a major challenge to evidence-based practice.
MedLine Citation:
PMID:  20436026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article reviews an aspect of daily clinical practice which is of critical importance in virtually every clinical consultation, but which is seldom formally considered. Non-clinical influences on clinical decision-making profoundly affect medical decisions. These influences include patient-related factors such as socioeconomic status, quality of life and patient's expectations and wishes, physician-related factors such as personal characteristics and interaction with their professional community, and features of clinical practice such as private versus public practice as well as local management policies. This review brings together the different strands of knowledge concerning non-clinical influences on clinical decision-making. This aspect of decision-making may be the biggest obstacle to the reality of practising evidence-based medicine. It needs to be understood in order to develop clinical strategies that will facilitate the practice of evidence-based medicine.
Authors:
F M Hajjaj; M S Salek; M K A Basra; A Y Finlay
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of the Royal Society of Medicine     Volume:  103     ISSN:  1758-1095     ISO Abbreviation:  J R Soc Med     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-05-25     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7802879     Medline TA:  J R Soc Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  178-87     Citation Subset:  IM    
Affiliation:
Department of Dermatology and Wound Healing, School of Medicine, Cardiff University, UK. fadihajjaj@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Attitude to Health
Decision Making*
Evidence-Based Medicine*
Health Services Accessibility*
Humans
Interpersonal Relations
Organizational Policy
Physician's Practice Patterns*
Prejudice
Socioeconomic Factors
Comments/Corrections

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