Document Detail

Open questions concerning influences on clinical decision making.
MedLine Citation:
PMID:  23448915     Owner:  NLM     Status:  In-Data-Review    
Efforts to influence utilization of services to bring down spending and to improve quality of care have largely failed. A critical reason is that most attention has focused on dysfunctional financial incentives without considering other factors that also influence physicians' utilization decisions. In this article, after providing a framework for ideal physician-patient interactions, questions are also raised about other influences, including physicians' impulse to help patients, professional codes of ethics, the threat of malpractice claims, and the leadership of health care organizations. An Appendix contains a summary of the literature on these factors.
Stephen M Davidson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of ambulatory care management     Volume:  36     ISSN:  1550-3267     ISO Abbreviation:  J Ambul Care Manage     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802876     Medline TA:  J Ambul Care Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  88-107     Citation Subset:  H    
Boston University School of Management, Boston, Massachusetts.
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