Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Methods of Documentation II: POMR

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.

Sensitivity, Specificity, and Predicted Value

Sensitivity, Specificity, and Predicted Value

In healthcare diagnostics, laboratory tests play a crucial role in identifying and diagnosing a wide range of medical conditions. However, interpreting test results is not always straightforward. An abnormal test result does not always confirm the presence of a disease, just as a normal result does not guarantee its absence. To assess the reliability of these diagnostic tools, healthcare practitioners rely on two key statistical indicators: sensitivity and specificity.
Sensitivity is the...

Obedience

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...

Documentation of Nursing Diagnosis

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...

Receiver Operating Characteristic Plot

Receiver Operating Characteristic Plot

A ROC (Receiver Operating Characteristic) plot is a graphical tool used to assess the performance of a binary classification model by illustrating the trade-off between sensitivity (true positive rate) and specificity (false positive rate). By plotting sensitivity against 1 - specificity across various threshold settings, the ROC curve shows how well the model distinguishes between classes, with a curve closer to the top-left corner indicating a more accurate model. The area under the ROC curve...

You might also read

Related Articles

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

Sort by

Same author

Community-engaged research in HIV implementation science: a cross-sectional assessment of meaningful engagement among community and academic recipients of 2021 and 2022 'ending the HIV epidemic' supplement awards.

Implementation science communications·2026

Same author

Challenges and Facilitators for HIV Testing Services and HIV Self-Testing Programming During Emergency Care in Kenya: A Qualitative Study of Patients.

Journal of sexual health and AIDS research·2026

Same author

Changes in sexual behaviors, network attributes, and STI testing among 15-44-year-olds by marital/cohabiting status and partner number: National Survey of Family Growth, 2008-19.

PloS one·2026

Same author

Community-engaged research in HIV implementation science: A cross-sectional assessment of meaningful engagement among community and academic recipients of 2021 and 2022 'ending the HIV epidemic' supplement awards.

Research square·2026

Same author

Improving HIV assisted partner services outcomes by eliciting additional partners after the initial encounter.

PLOS global public health·2026

Same author

Impact of COVID-19 school learning model on mental health, suicidal thoughts and behaviors, substance use, and violence related behaviors and experiences among U.S. high school students.

PLOS mental health·2025

Search research articles

Related Experiment Video

Updated: May 9, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

High physician concern about malpractice risk predicts more aggressive diagnostic testing in office-based practice.

Emily R Carrier¹, James D Reschovsky, David A Katz

¹Center for Studying Health System Change, Washington, DC, USA. ecarrier@hschange.org

Health Affairs (Project Hope)

|August 7, 2013

Summary

Physicians concerned about malpractice are more likely to practice defensive medicine, increasing healthcare costs. Addressing physicians' perceptions of legal risk is key to reducing these practices.

Keywords:

Cost Of Health Care Legal/Regulatory Issues

Related Experiment Videos

Last Updated: May 9, 2026

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

Area of Science:

Health Economics
Medical Practice Management
Public Health Policy

Background:

Defensive medicine is widely believed to increase healthcare costs, but the exact financial impact remains unclear.
Previous studies have yielded inconsistent findings due to varying methods for assessing physicians' malpractice risk.
Understanding the drivers of defensive medicine is crucial for developing effective cost-containment strategies.

Purpose of the Study:

To investigate the relationship between physicians' self-reported malpractice concern and their diagnostic practices.
To determine if physicians' perceived malpractice risk correlates with increased utilization of medical services.
To explore the impact of state-level malpractice risk indicators versus individual physician concern on defensive medicine.

Main Methods:

Linked physician responses from the 2008 Health Tracking Physician Survey to Medicare claims data (2007-2009).
Analyzed diagnostic and treatment patterns for new patient complaints of chest pain, headache, and lower back pain.
Compared associations between self-rated malpractice concern and state-level malpractice risk indicators with actual medical practice.

Main Results:

Physicians reporting high malpractice concern were significantly more likely to engage in defensive practices for specific new patient complaints.
No consistent association was found between state-level malpractice risk indicators and defensive medicine practices.
Physicians' self-perceptions of legal risk appear to be a stronger predictor of defensive medicine than objective state-level data.

Conclusions:

Physicians' perceptions of malpractice risk are a significant factor driving defensive medicine.
Interventions aimed at reducing defensive medicine should focus on physicians' subjective concerns and their root causes.
Policy efforts may be more effective when targeting individual physician perceptions rather than broader state-level risk factors.