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外科医生隐含地偏爱特定疾病而非非特定疾病

Madison Terzo¹, Dayal Rajagopalan, Marielle Nguoe

¹Department of Surgery and Perioperative Care, Dell Medical School, the University of Texas at Austin, Austin, TX, USA.

Clinical orthopaedics and related research

|November 2, 2023

概括

肌肉骨外科医生表现出一种隐含的偏见,偏爱特定疾病而不是非特定疾病,尽管没有明确的偏好. 这种偏见可能会导致过度诊断和过度治疗,突出显示需要正念的临床实践.

科学领域:

整形外科手术整形外科手术
医学心理学医学心理学
医疗保健服务研究医疗服务研究

背景情况:

非特异性疾病缺乏可测量的病理学,并可能带有社会耻辱.
这种耻辱可能会使医疗保健提供者偏向于诊断特定疾病,可能导致过度诊断和过度治疗.

研究的目的:

调查与外科医生隐含和明确偏好特定疾病而不是非特定疾病相关的因素.
确定外科医生的隐式和显式偏好之间的关系.

主要方法:

一项基于调查的实验,涉及来自变异科学小组的103名外科医生.
使用隐式关联测试 (IAT) 来评估隐式偏见和数字评级的明确偏好.
使用多变量线性回归和斯皮尔曼相关性来分析数据.

主要成果:

观察到一个显著的隐性偏见,有利于特定疾病而非非特定疾病 (中位数为70).
在特定疾病和非特定疾病之间没有发现临床上显著的明确偏好 (中位数8).
隐式和显式偏好之间没有发现相关性 (斯皮尔曼r = -0.13).

结论:

肌肉骨专家之间存在对特定疾病的隐性偏见,可能会影响诊断测试和标签.
临床医生和患者可以通过承认这种偏见并专注于客观病理生理学来减轻过度测试和过度治疗.

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