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Related Experiment Videos

Non-evidence-based variables affecting physicians' test-ordering tendencies: a systematic review.

R Sood1, A Sood, A K Ghosh

  • 1Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, 55905 Rochester, Minnesota, United States.

The Netherlands Journal of Medicine
|May 24, 2007
PubMed
Summary
This summary is machine-generated.

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Physician test ordering is slow to adopt evidence-based medicine (EBM) due to non-EBM factors. Understanding these physician variables is key to improving evidence-based practices.

Area of Science:

  • Medical Practice and Policy
  • Health Services Research

Background:

  • Evidence-based medicine (EBM) was introduced in 1992, but its integration into physician practices remains slow.
  • Physicians' test ordering tendencies are often influenced by factors not grounded in scientific evidence.

Purpose of the Study:

  • To identify non-EBM variables influencing physicians' test ordering practices.
  • To understand the determinants of physician test ordering behavior.

Main Methods:

  • A comprehensive literature review was conducted across multiple databases (MEDLINE, Web of Science, EMBASE, PsycINFO) from 1992 to 2006.
  • Included original research on physician test-ordering determinants; excluded reviews, letters, and editorials.
  • Two independent reviewers assessed study design, quality, and limitations.

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Main Results:

  • 104 original studies identified variables affecting test ordering; 53 focused on physician-specific factors.
  • Identified physician variables include age, sex, specialization, location, practice setting, beliefs, experience, knowledge, fear of litigation, regret, financial incentives, cost awareness, and feedback.

Conclusions:

  • Non-EBM physician variables significantly influence test ordering, despite advances in EBM.
  • Further research is needed to identify modifiable factors and develop strategies to promote evidence-based test ordering.