How do GPs use clinical information in their judgements of heart failure? A clinical judgement analysis study

Scandinavian Journal of Primary Health Care

Volumn 16, Issue 2, 1998, Pages 95-100

  Skånér, Ylva ^a,b   Strender, Lars Erik ^b   Bring, Johan ^c  

^a Hälsocentralen Södra Station   (Sweden)

^b KAROLINSKA INSTITUTE   (Sweden)

^c UPPSALA UNIVERSITY   (Sweden)

Author keywords

Case vignettes; Clinical Judgement Analysis; Decision making; Diagnosis; General practice; Heart failure

Indexed keywords

ANALYTIC METHOD; ARTICLE; GENERAL PRACTITIONER; HEART FAILURE; MEDICAL AUDIT; MEDICAL DECISION MAKING; PRIMARY HEALTH CARE; REGRESSION ANALYSIS; RISK ASSESSMENT; SWEDEN;

AGED; AGED, 80 AND OVER; DIAGNOSTIC TESTS, ROUTINE; EDUCATION, MEDICAL, CONTINUING; FAMILY PRACTICE; FEMALE; HEART FAILURE, CONGESTIVE; HUMANS; MALE; MEDICAL HISTORY TAKING; MIDDLE AGED; PRIMARY HEALTH CARE; RISK FACTORS; SWEDEN;

EID: 0031817524     PISSN: 02813432     EISSN: None     Source Type: Journal    
DOI: 10.1080/028134398750003241     Document Type: Article

References (20)

1. World Health Organization/Council of Geriatric Cardiology. Concise Guide to the Management of Heart Failure. Geneva: WHO, 1995.
2. Läkemedelsverket (Medical Products Agency). Behandling av akut och kronisk hjärtsvikt - rekommendationer (Treatment of acute and chronic heart failure - recommendations). Information från Läkemedelsverket 1996;7:17-56.
3. The CONSENSUS Trial Study Group. Effects of enalapril on mortality in severe congestive heart failure. N Engl J Med 1987;316:1429-35.
4. The SOLVD Investigators. Effect of enalapril on survival in patients with reduced left ventricular ejection fractions and congestive heart failure. N Engi J Med 1991;325:293-302.
5. Kleber FX, Niemöller L, Doering W. Impact of converting enzyme inhibition on progression of chronic heart failure: Results of the Munich Mild Heart Failure Trial. Br Heart J 1992;67:289-96.
6. Marantz PR, Alderman MH, Tobin JN. Diagnostic heterogeneity in clinical trials for congestive heart failure. Ann Intern Med 1988;109:55-61.
7. Mair FS, Crowley TS, Bundred PE. Prevalence, aetiology and management of heart failure in general practice. Br J Gen Pract 1996;46:77-9.
8. Parameshwar J, Shackell MM, Richardson A, Poole-Wilson PA, Sutton GC. Prevalence of heart failure in three general practices in north-west London. Br J Gen Pract 1992;42:287-9.
9. Cooksey RW. Judgment analysis: theory, methods, and applications. Boston: Academic Press, 1996.
10. Kirwan JR, Chaput de Saintonge DM, Joyce CRB. Clinical judgement analysis. Q J Med 1990;76:935-49.
11. Wigton RS, Hoellerich VL, Patil KD. How physicians use clinical information in diagnosing pulmonary embolism: an application of conjoint analysis. Med Decis Making 1966;6:2-11.
12. Elstein AS, Holzman GB, Ravitch MM, Metheny WA, Holmes M, Hoppe R, et al. Comparison of physicians' decisions regarding estrogen replacement therapy for menopausal women and decisions derived from a decision analytic model. Am J Med 1986;80:246-8.
13. Wigton RS, Patil KD, Hoellerich VL. The effect of feedback in learning clinical diagnosis. J Med Educ 1986;61:816-22.
14. Chaput de Saintonge DM, Hathaway NR. Antibiotic use in otitis media: patient simulations as an aid to audit. BMJ 1981;283:883-4.
15. Braspennig J, Sergeant J. General practitioners' decisionmaking for mental health problems: outcomes and ecological validity. J Clin Epidemiol 1994;47:1365-72.
16. Kirwan JR, Chaput de Saintonge DM, Joyce CRB, Currey HLF. Clinical judgment in rheumatoid arthritis. I. Rheumatologists' opinions and the development of "paper patients". Ann Rheumatic Dis 1983;42:644-7.
17. Bring J. Variable Importance and Regression Modelling. Uppsala, Sweden: Uppsala University, 1994 [thesis].
18. Dahlström U, Boman K, Edvardsson N, Pehrsson K, Persson S. Hjärtsvikt - en svårställd klinisk diagnos (Heart failure - a difficult diagnosis to confirm clinically). Läkartidningen 1995;92:1360-3.
19. Remes J, Miettinen H, Reunanen A, Pyörala K. Validity of clinical diagnosis of heart failure in primary health care. Eur Heart J 1991;12:315-21.
20. Brehmer B. The psychology of linear judgement models. Acta Psychol 1994;87:137-54.