How do primary care doctors deal with uncertainty in making diagnostic decisions?: The development of the 'Dealing with Uncertainty Questionnaire' (DUQ)

Journal of Evaluation in Clinical Practice

Volumn 16, Issue 3, 2010, Pages 431-437

  Schneider, Antonius ^a   Löwe, Bernd ^b   Barie, Stefan ^c   Joos, Stefanie ^c   Engeser, Peter ^c   Szecsenyi, Joachim ^c  

^a TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^b UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

^c UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

Author keywords

Decision making; Diagnosis; Primary care; Questionnaire; Uncertainty

Indexed keywords

ADULT; ANXIETY; ARTICLE; CLINICAL PRACTICE; DIAGNOSTIC ERROR; DIAGNOSTIC REASONING; FEMALE; HUMAN; MALE; MEDICAL DECISION MAKING; PHYSICIAN; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROFESSIONAL KNOWLEDGE; QUESTIONNAIRE; RATING SCALE; RELIABILITY; SEX DIFFERENCE; VALIDITY; WORK EXPERIENCE;

ADULT; DIAGNOSIS, DIFFERENTIAL; FEMALE; GERMANY; HUMANS; MALE; MIDDLE AGED; PHYSICIANS, PRIMARY CARE; QUESTIONNAIRES; UNCERTAINTY;

EID: 77952922405     PISSN: 13561294     EISSN: 13652753     Source Type: Journal    
DOI: 10.1111/j.1365-2753.2010.01464.x     Document Type: Article

References (23)

1. O'Connor, G. T. Sox, H. C., Jr. (1991) Bayesian reasoning in medicine: the contributions of Lee B. Lusted, MD. Medical Decision Making, 11 (2 107 111.
2. Schneider, A., Dinant, G. J. Szecsenyi, J. (2006) Stepwise diagnostic workup in general practice as a consequence of the Bayesian reasoning. Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung, 100 (2 121 127.
3. Gigerenzer, G. Edwards, A. (2003) Simple tools for understanding risks: from innumeracy to insight. BMJ, 327 (7417 741 744.
4. Hoffrage, U., Lindsey, S., Hertwig, R. Gigerenzer, G. (2000) Medicine. Communicating statistical information. Science, 290 (5500 2261 2262.
5. Knottnerus, J. A. (1991) Medical decision making by general practitioners and specialists. Family Practice, 8 (4 305 307.
6. Dinant, G. J. (2004) Diagnosis and desicion making: undifferentiated illness and uncertainty in diagnosis and management. In Oxford Textbook of Primary Medical Care (Volume 2) (eds R. Jones, N. Britten, L. Culpepper, D. Gass, R. Grol, D. Mant C. Silagy pp. 201 203.
7. Beresford, E. B. (1991) Uncertainty and the shaping of medical decisions. The Hastings Center Report, 21 (4 6 11.
8. Hewson, M. G., Kindy, P. J., Van Kirk, J., Gennis, V. A. Day, R. P. (1996) Strategies for managing uncertainty and complexity. Journal of General Internal Medicine, 11 (8 481 485.
9. Hall, K. H. (2002) Reviewing intuitive decision-making and uncertainty: the implications for medical education. Medical Education, 36 (3 216 224.
10. Gerrity, M. S., Earp, J. A. L. deVellis, R. F. (1992) Uncertainty and professional work: perceptions of physicians in clinical practice. Motivation and Emotion, 97 (4 1022 1051.
11. Gerrity, M. S., White, K. P., deVellis, R. F. Dittus, R. S. (1995) Physicians' reactions to uncertainty: refining the constructs and scales. Motivation and Emotion, 19 (3 175 191.
12. Allison, J. J., Kiefe, C. I., Cook, E. F., Gerrity, M. S., Orav, E. J. Centor, R. (1998) The association of physician attitudes about uncertainty and risk taking with resource use in a Medicare HMO. Medical Decision Making, 18 (3 320 329.
13. Kassirer, J. P. (1989) Our stubborn quest for diagnostic certainty. A cause of excessive testing. The New England Journal of Medicine, 320 (22 1489 1491.
14. Andre, M., Borgquist, L. Molstad, S. (2003) Use of rules of thumb in the consultation in general practice-an act of balance between the individual and the general perspective. Family Practice, 20 (5 514 519.
15. Ghosh, A. K. Ghosh, K. (2005) Translating evidence-based information into effective risk communication: current challenges and opportunities. The Journal of Laboratory and Clinical Medicine, 145 (4 171 180.
16. Ghosh, A. K. (2004) On the challenges of using evidence-based information: the role of clinical uncertainty. Journal of Laboratory and Clinical Medicine, 144 (2 60 64.
17. Schneider, A., Szecsenyi, J., Barie, S., Joest, K. Rosemann, T. (2007) Validation and cultural adaptation of a German version of the Physicians' Reactions to Uncertainty scales. BMC Health Services Research, 7, 81.
18. Wensing, M., Broge, B., Kaufmann-Kolle, P., Andres, E. Szecsenyi, J. (2004) Quality circles to improve prescribing patterns in primary medical care: what is their actual impact? Journal of Evaluation in Clinical Practice, 10 (3 457 466.
19. Crohnbach, L. J. (1951) Coeffizient alpha and the internal structure of tests. Psychometrika, 16, 297 334.
20. Nunnally, J. C. (1978) Psychometric Theory.
21. Todd, P. M. Gigerenzer, G. (2000) Precis of simple heuristics that make us smart. The Behavioral and Brain Sciences, 23 (5 727 741.
22. Cabana, M. D., Rand, C. S., Powe, N. R., Wu, A. W., Wilson, M. H., Abboud, P. A. Rubin, H. R. (1999) Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA, 282 (15 1458 1465.
23. Cochrane, L. J., Olson, C. A., Murray, S., Dupuis, M., Tooman, T. Hayes, S. (2007) Gaps between knowing and doing: understanding and assessing the barriers to optimal health care. The Journal of Continuing Education in the Health Professions, 27 (2 94 102.