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The effects of physicians' training and personality on test ordering for ambulatory patients

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  • Epstein, A.M.
  • Begg, C.B.
  • McNeil, B.J.

Abstract

We studied records of 351 hypertensive patients cared for by 30 internists in private office practice. We correlated the use of outpatient diagnostic tests with personal characteristics of the prescribing physicians. Doctors trained in medical schools with academic orientations used more tests than other physicians. Patterns of use were not strongly related to the number of years since medical school graduation, or physicians 'intolerance of ambiguity' as measured by a standard psychological instrument. These findings suggest that certain types of training may predispose physicians to be high testers.

Suggested Citation

  • Epstein, A.M. & Begg, C.B. & McNeil, B.J., 1984. "The effects of physicians' training and personality on test ordering for ambulatory patients," American Journal of Public Health, American Public Health Association, vol. 74(11), pages 1271-1273.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.74.11.1271_0
    DOI: 10.2105/AJPH.74.11.1271
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    Cited by:

    1. Scott, Anthony & Shiell, Alan, 1997. "Do fee descriptors influence treatment choices in general practice? A multilevel discrete choice model," Journal of Health Economics, Elsevier, vol. 16(3), pages 323-342, June.
    2. Sophie Massin & Antoine Nebout & Bruno Ventelou, 2018. "Predicting medical practices using various risk attitude measures," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 843-860, July.
    3. Arnold M. Epstein & Barbara J. McNeil, 1985. "Physician Characteristics and Organizational Factors Influencing Use of Ambulatory Tests," Medical Decision Making, , vol. 5(4), pages 401-415, December.
    4. Paul Clay Sorum & Junseop Shim & Gérard Chasseigne & Sylvie Bonnin-Scaon & Joël Cogneau & Etienne Mullet, 2003. "Why do Primary Care Physicians in the United States and France Order Prostate-Specific Antigen Tests for Asymptomatic Patients?," Medical Decision Making, , vol. 23(4), pages 301-313, July.
    5. Jeroan J. Allison & Catarina I. Kiefe & E. Francis Cook & Martha S. Gerrity & E. John Orav & Robert Centor, 1998. "The Association of Physician Attitudes about Uncertainty and Risk Taking with Resource Use in a Medicare HMO," Medical Decision Making, , vol. 18(3), pages 320-329, August.
    6. Tinglong Dai & Shubhranshu Singh, 2020. "Conspicuous by Its Absence: Diagnostic Expert Testing Under Uncertainty," Marketing Science, INFORMS, vol. 39(3), pages 540-563, May.
    7. David R. Holtgrave & Frank Lawler & Stephen J. Spann, 1991. "Physicians' Risk Attitudes, Laboratory Usage, and Referral Decisions," Medical Decision Making, , vol. 11(2), pages 125-130, June.
    8. N/A, 1987. "Editorials," Medical Decision Making, , vol. 7(3), pages 136-137, August.
    9. Anthony Scott & Alan Shiell, 1997. "Analysing the effect of competition on General Practitioners' behaviour using a multilevel modelling framework," Health Economics, John Wiley & Sons, Ltd., vol. 6(6), pages 577-588, November.
    10. Paul R. Yarnold & Stephen D. Nightingale & Raymond H. Curry & Gary J. Martin, 1990. "Psychological Androgyny and Preference for Intubation in a Nypothetical Case of End-stage Lung Disease," Medical Decision Making, , vol. 10(3), pages 215-222, August.

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