کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279366 1611512 2013 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Determinants of surgical decision making: a national survey
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Determinants of surgical decision making: a national survey
چکیده انگلیسی

BackgroundWe conducted a national survey of general surgeons to address the association between surgeon characteristics and the tendency to recommend surgery.MethodsWe used a web-based survey with 25 hypothetical clinical scenarios with clinical equipoise regarding the decision to operate. The respondent-level tendency to operate (TTO) score was calculated as the average score over the 25 scenarios. Surgical volume was based on self-report. Linear regression models were used to evaluate the associations between TTO, other covariates of interest, and surgical volume.ResultsThere were 907 respondents. The mean surgical TTO was 3.05 ± .43. Surgeons had significantly lower TTO scores when responding to questions within their area of practice (P < .0001). There was no association between TTO and malpractice concerns, financial incentives, or compensation structure.ConclusionsSurgeons recommend intervention far less frequently within their area of specialization. Malpractice concerns, volume, and financial compensation do not significantly affect surgical decision making.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 206, Issue 6, December 2013, Pages 970–978
نویسندگان
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