Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Physicians' responses to diagnostic test guidelines.

R B Goodspeed1, N Goldfield, N Naran

  • 1University of Connecticut School of Medicine, Farmington.

HMO Practice
|October 6, 1989
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Search for Double Beta Decays of ^{134}Xe with EXO-200 Phase II.

Physical review letters·2026
Same author

Characterization of external cross-talk from silicon photomultipliers in a liquid xenon detector.

The European physical journal. C, Particles and fields·2025
Same author

Expert consensus on neurodevelopmental outcomes in pregnancy pharmacovigilance studies.

Frontiers in pharmacology·2023
Same author

Introducing an Ethics Framework for health priority-setting in South Africa on the path to universal health coverage.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2022
Same author

Measurement of the Spectral Shape of the β-Decay of ^{137}Xe to the Ground State of ^{137}Cs in EXO-200 and Comparison with Theory.

Physical review letters·2020
Same author

Surveillance summary of hospitalized pediatric enterovirus D68 cases in Canada, September 2014.

Canada communicable disease report = Releve des maladies transmissibles au Canada·2019
Same journal

Secondary prevention in coronary heart disease.

HMO practice·1998
Same journal

The medical care system and prevention: the need for a new paradigm.

HMO practice·1998
Same journal

Diabetes case management: experience in the staff and IPA model HMO.

HMO practice·1998
Same journal

HMO chiropractic referrals: a nurse triage approach.

HMO practice·1998
Same journal

Using paging technology for reminding patients.

HMO practice·1998
Same journal

Prevention of hepatitis A.

HMO practice·1998
See all related articles

Physicians generally agreed with diagnostic test guidelines for asymptomatic patients, though significant disagreement existed for most recommendations. Board certification and practice type influenced physician agreement with these evidence-based guidelines.

Area of Science:

  • Clinical Practice Guidelines
  • Preventive Medicine
  • Health Services Research

Background:

  • Diagnostic test utilization during asymptomatic periodic health examinations is a key area for guideline development.
  • The Blue Cross Blue Shield Association/American College of Physicians developed guidelines for test use in this context.
  • Physician perspectives are crucial for the adoption and refinement of clinical guidelines.

Purpose of the Study:

  • To survey internists, subspecialty internists, and family practitioners on their opinions of specific diagnostic test use guidelines.
  • To assess physician agreement with guidelines applied to the asymptomatic periodic health examination.
  • To identify factors associated with physician agreement or disagreement with the guidelines.

Main Methods:

Related Experiment Videos

  • A survey was administered to 390 physicians, including internists, subspecialty internists, and family practitioners.
  • Respondents provided opinions on ten diagnostic test use guidelines from the Blue Cross Blue Shield Association/American College of Physicians.
  • Statistical analysis examined associations between physician characteristics (board certification, years in practice, practice type) and guideline agreement.

Main Results:

  • The majority of respondents (59%) agreed with the diagnostic test use guidelines.
  • Significant disagreement (≥40%) was observed for seven out of ten guidelines.
  • Board certification, being an internist or family practitioner, and working in an HMO were associated with higher agreement, while more years in practice correlated with lower agreement for some guidelines.

Conclusions:

  • The developed guidelines serve as a valuable starting point for optimizing diagnostic test use during periodic health examinations.
  • Physician characteristics influence adherence to and agreement with evidence-based testing guidelines.
  • Further refinement and physician engagement are necessary for effective implementation of guidelines in routine practice.