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Death certification by British doctors: a demographic analysis

A K Diehl, D W Gau

Journal of Epidemiology and Community Health

|June 1, 1982

Summary

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Doctor

Area of Science:

Medical research
Public health
Epidemiology

Background:

Observed regional variations in mortality rates in England and Wales.
Investigated potential influence of physician diagnostic practices on these variations.

Purpose of the Study:

To assess the extent to which doctors' death certification practices affect observed regional mortality differences.
To identify factors influencing diagnostic choices in death certification.

Main Methods:

Survey of 123 British general practitioners and housemen.
Analysis of death certificates completed based on simulated patient case histories.

Main Results:

No significant variations in diagnostic groupings were found based on doctor's region, practice type, training location, sex, or qualification year.

Related Experiment Videos

Physicians qualifying before 1955 showed a higher tendency to list stomach cancer on death certificates compared to more recently qualified doctors.

Conclusions:

Physician diagnostic practices, as reflected in death certification, showed minimal variation across different demographic and professional factors.
A potential generational difference in listing specific causes of death, such as stomach cancer, was observed.