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What Influences Physician Practice Behavior?An Interview Study
Gerald J. Jogerst, MD;
Evan W. Kligman, MD
Arch Fam Med. 1996;5(8):455-456.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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In THIS issue of the ARCHIVES, Maly and colleagues' present findings on what influences physician practice behaviors after they receive geriatric assessment recommendations. In a sample of 87 physicians, predominantly male internists from private practice and health maintenance organization settings, there was a 71.3% compliance rate for the "most important" comprehensive geriatric assessment (CGA) recommendations. The recommendations concerned geriatric syndromes (43%); general medical problems (41.4%); and psychiatric conditions, predominantly depression (14.9%). Compliance with outpatient consultative geriatric assessment recommendations was most strongly related to perceived legal liability, should the recommendation of "experts" not be implemented, and patient requests that the recommendation be followed. Female gender of the referring physician and perceived cost-effectiveness of the recommendations were other significant predictors of physician compliance. The specific patient behavior of requesting the recommendation had a substantial effect on physician behavior and increased physician compliance almost 11-fold when controlling for other factors.
. . . [Full Text PDF of this Article]
Author Affiliations
Department of Family Practice The University of Iowa College of Medicine
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