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 Video

Updated: Jun 27, 2026

Noninvasive Assessment of Cardiac Abnormalities in Experimental Autoimmune Myocarditis by Magnetic Resonance Microscopy Imaging in the Mouse
12:24

Noninvasive Assessment of Cardiac Abnormalities in Experimental Autoimmune Myocarditis by Magnetic Resonance Microscopy Imaging in the Mouse

Published on: June 20, 2014

Angst-driven medicine?

A Schattner1

  • 1Department of Medicine, Kaplan Medical Centre, POB 1, Rehovot 76100, Israel. amiMD@clalit.org.il

QJM : Monthly Journal of the Association of Physicians
|December 20, 2008
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

Splenic spread and hepatic encephalopathy in metastatic malignant melanoma.

QJM : monthly journal of the Association of Physicians·2024
Same author

Documenting the patient's visit in the EHR-searching for the holy grail.

QJM : monthly journal of the Association of Physicians·2024
Same author

Sclerosing mesenteritis.

QJM : monthly journal of the Association of Physicians·2023
Same author

Staphylococcus aureus bacteraemia presenting as sternoclavicular arthritis.

QJM : monthly journal of the Association of Physicians·2023
Same author

Euthyroid Graves' ophthalmopathy.

QJM : monthly journal of the Association of Physicians·2023
Same author

Severe CNS relapse of partially treated Listeria: hydrocephalus, brain oedema and coma.

QJM : monthly journal of the Association of Physicians·2023
Same journal

Familial pulmonary fibrosis due to pathogenic TERT variant presenting with a UIP-PPFE phenotype.

QJM : monthly journal of the Association of Physicians·2026
Same journal

Corkscrew Oesophagus Due to Distal Oesophageal Spasm.

QJM : monthly journal of the Association of Physicians·2026
Same journal

Correction to: Integrated care management for patients following acute stroke: a systematic review.

QJM : monthly journal of the Association of Physicians·2026
Same journal

Methodological concerns regarding blinding and long term efficacy of fire needle therapy for plaque psoriasis.

QJM : monthly journal of the Association of Physicians·2026
Same journal

Media framing of GLP-1/GIP therapies in Japan: Lessons for aging universal health coverage systems.

QJM : monthly journal of the Association of Physicians·2026
Same journal

Regional heterogeneity in psoriasis area and severity index response to fire needle therapy for plaque psoriasis.

QJM : monthly journal of the Association of Physicians·2026
See all related articles

Physician decisions are swayed by external pressures like fear, time limits, and stress, moving away from evidence-based care. Addressing these factors can reduce angst-driven medicine and improve patient outcomes.

Area of Science:

  • Medical Ethics
  • Clinical Decision-Making
  • Healthcare Management

Background:

  • Physician behavior is influenced by factors beyond scientific evidence and humanistic values.
  • Numerous external pressures impact clinical encounters, often unrecognized.
  • These include managed care, time constraints, emotional avoidance, and technology.

Purpose of the Study:

  • To identify and analyze non-clinical factors influencing physician decision-making.
  • To understand how these factors lead to 'angst-driven medicine'.
  • To propose strategies for mitigating negative impacts on patient care.

Main Methods:

  • Literature review identifying factors affecting clinical encounters.
  • Analysis of how these factors influence physician behavior and decisions.

More Related Videos

A Mouse Model for Vascular Cognitive Impairment and Dementia Based on Needle-guided Asymmetric Bilateral Common Carotid Artery Stenosis
05:12

A Mouse Model for Vascular Cognitive Impairment and Dementia Based on Needle-guided Asymmetric Bilateral Common Carotid Artery Stenosis

Published on: November 22, 2024

Related Experiment Videos

Last Updated: Jun 27, 2026

Noninvasive Assessment of Cardiac Abnormalities in Experimental Autoimmune Myocarditis by Magnetic Resonance Microscopy Imaging in the Mouse
12:24

Noninvasive Assessment of Cardiac Abnormalities in Experimental Autoimmune Myocarditis by Magnetic Resonance Microscopy Imaging in the Mouse

Published on: June 20, 2014

A Mouse Model for Vascular Cognitive Impairment and Dementia Based on Needle-guided Asymmetric Bilateral Common Carotid Artery Stenosis
05:12

A Mouse Model for Vascular Cognitive Impairment and Dementia Based on Needle-guided Asymmetric Bilateral Common Carotid Artery Stenosis

Published on: November 22, 2024

  • Exploration of the concept of 'angst-driven medicine'.

    • Main Results:

    • Key influences include fear of litigation, managed care pressures, time constraints, emotional avoidance, patient demands, computer presence, and work-related stress.
    • These factors contribute to physician angst.
    • Angst can lead physicians to suboptimal, angst-reducing decisions instead of evidence-based, compassionate care.

    Conclusions:

    • External pressures significantly impact clinical decisions, potentially compromising patient care quality.
    • Multifaceted approaches are needed to minimize angst-driven medicine.
    • Improving care quality requires addressing these influences to support evidence-based and compassionate practice.