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The modification of physician practice patterns.

S M Retchin1

  • 1Department of Internal Medicine, Virginia Commonwealth University, Richmond, USA.

Clinical Performance and Quality Health Care
|September 4, 1997
PubMed
Summary
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Physician practice patterns significantly impact healthcare costs. Modifying these patterns requires understanding influencing factors and strategic interventions like opinion leaders and timely educational efforts.

Area of Science:

  • Health Policy
  • Medical Economics
  • Physician Behavior

Background:

  • Physician decisions significantly influence healthcare expenditures, despite direct responsibility for a small fraction.
  • Variations in physician practice patterns are well-documented, necessitating strategies for modification.

Purpose of the Study:

  • To identify factors influencing physician practice pattern variations.
  • To evaluate strategies for modifying physician practice patterns and their cost-effectiveness.

Main Methods:

  • Review of factors influencing practice variations: physician characteristics, knowledge, beliefs, and attitudes.
  • Analysis of intervention strategies: educational efforts, practice guidelines, feedback, opinion leaders, and timing of interventions.

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Main Results:

  • Educational efforts, guidelines, and feedback show mixed results in modifying practice patterns.
  • The influence of opinion leaders and the timing of interventions proximal to practice decisions are critical factors.

Conclusions:

  • Understanding physician-specific factors is key to designing effective practice pattern modification programs.
  • Assessing the costs and benefits of interventions is crucial for evaluating their utility in healthcare settings.