Do physicians do what they say? The inclination to test and its association with coronary angiography rates

Journal of General Internal Medicine

Volumn 12, Issue 3, 1997, Pages 172-176

  Wennberg, David E ^a,b   Dickens Jr , John D ^b   Biener, Lois ^c   Fowler Jr , Floyd J ^c   Soule, David N ^a   Keller, Robert B ^a  

^a Maine Medical Assessment Foundation   (United States)

^b MAINE MEDICAL CENTER   (United States)

^c UNIVERSITY OF MASSACHUSETTS BOSTON   (United States)

Author keywords

angiography; physician decision making; physician practice patterns; small area variation; survey

Indexed keywords

ADULT; ANGIOCARDIOGRAPHY; ARTICLE; CLINICAL PRACTICE; FEMALE; HEART CATHETERIZATION; HUMAN; MALE; MEDICAL DECISION MAKING; PHYSICIAN ATTITUDE; SELF REPORT;

EID: 0030890947     PISSN: 08848734     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1525-1497.1997.012003172.x     Document Type: Article

References (26)

1. Rouleau JL, Moye LA, Pfeffer MA, et al. A comparison of management patterns after acute myocardial infarction in Canada and the United States. N Engl J Med. 1993;328:779-84.
2. Leape LL, Park RE, Solomon DH, Chassin MR, Kosecoff J, Brook RH. Does inappropriate use explain small-area variations in the use of health rare services? JAMA. 1990;263:669-72.
3. Ayanian JZ, Udvarhelyi IS, Gatsonis CA, Pashos CL, Epstein AM. Racial differences in the use of revascularization procedures after coronary angiography. JAMA. 1993;269:2642-6.
4. Whittle J, Conigliaro J, Good CB, Lofgren RP. Racial differences in the use of cardiovascular procedures in the Department of Veterans Affairs medical system. N Engl J Med. 1993;329:621-7.
5. Koslis JB, Wilson AC, O'Dowd K, et al. Sex differences in the management and long-term outcome of acute myocardial infarction. A statewide study. MIDAS Study Group. Circulation. 1994;90: 1715-30.
6. Langa KM, Sussman EJ. The effect of cost-containment policies on the rates of coronary revascularization in California. N Engl J Med. 1993;329:1784-9.
7. Every NR, Larson EB, Litwin PE, et al. The association between on-site cardiac catheterization facilities and the use of coronary angiography after acute myocardial infarction. N Engl J Med. 1993;329:546-51.
8. Pilote L, Califf RM, Sapp S, et al. Regional variation across the United States in the management of acute myocardial infarction. N Engl J Med. 1995;333:565-72.
9. Ayanian JZ, Hauptman PJ, Guadagnoli E, Antman EM, Pashos CL, McNeil BJ. Knowledge and practices of generalists and specialist physicians regarding drug therapy for acute myocardial infarction. N Engl J Med. 1994;331:1136-42.
10. Friedmann PD, Brett AS, Mayo-Smith MF. Differences in generalists' and cardiologists' perceptions of cardiovascular risk and outcomes of preventive therapy in cardiovascular disease. Ann Intern Med. 1996;124:414-21.
11. Wennberg JE, Gittelsohn A. Variations in medical care among small areas. Sci Am. 1982;246:120-34.
12. Wennberg DE, Kellett MA, Dickens JD, Malenka DJ, Keilson LM, Keller RB. The association between local diagnostic intensity and invasive cardiac procedures. JAMA. 1996;275:1161-4.
13. Kahn HA, Sempos CT. Statistical Methods in Epidemiology. New York, NY: Oxford University Press; 1983.
14. Bindman AB, Grumbach K, Osmond D, et al. Preventable hospitalizations and access to health care. JAMA. 1995;274:305-11.
15. Komaromy M, Lurie N, Osmond D, Vranizan K, Kenne D, Bindman AB. Physician practice style and the rates of hospitalization for chronic medical conditions. Med Care. 1996;34:595-609.
16. Fine MJ, Smith DN, Singer DE. Hospitalization decision in patients with community-acquired pneumonia: a prospective cohort study. Am J Med. 1990;89:713-21.
17. Wennberg JE, Freeman JL, Culp WJ. Are hospital services rationed in New Haven or over-utilised in Boston? Lancet. 1987;1:1185-9.
18. McAfee RE. The hospital 'surgical signature:' a quality-assessment tool. JAMA. 1987;257:972. Editorial.
19. Wennberg JE. Small area analysis and the medical care outcome problem. In: Research Methodology: Strengthening Causal Interpretations of Nonexperimental Data. Rockville, Md: Agency for Health Care Policy and Research; 1990:177-206. U.S. Dept. of Health and Human Services publication PB90-101387.
20. Keller RB, Soule DN, Wennberg JE, Hanley DF. Dealing with geographic variations in the use of hospitals. The experience of the Maine Medical Assessment Foundation Orthopaedic Study Group. J Bone Joint Surg Am. 1990;72:1286-93.
21. Keller RB, Chapin AM, Soule DN. Informed inquiry into practice variations: the Maine Medical Association Foundation. Qual Assur Health Care. 1990;2:69-75.
22. Manian FA, Janssen DA. Curbside consultations a closer look at common practice. JAMA. 1996;275:145-7.
23. Weinberg AD, Ullian L, Richards WD, Cooper P. Informal advice-and information-seeking between physicians. J Med Educ. 1981; 56:174-80.
24. Greenfield S, Nelson EC, Zubkoff M, et al. Variations in resource utilization among medical specialties and systems of care. JAMA. 1992;267:1624-30.
25. Cherkin DC, Rosenblatt RA, Hart LG, et al. The use of medical resources by residency-trained family physicians and general internists: is there a difference. Med Care. 1987;25:455-69.
26. Fisher ES, Whaley FS, Krushat WM, et al. The accuracy of Medicare's hospital claims data: progress has been made, but problems remain. Am J Public Health. 1992;82:243-8.