医疗决策中的群体行为:一项实验研究调查全科医生的处方行为
Sandro Tiziano Stoffel1,2,3, Rachel Spencer4, Judit Konya5
1Research Department of Behavioural Science and Health, UCL, London, United Kingdom.
PloS one
|July 8, 2024
概括
医生群体行为可能导致医疗错误. 一般医生 (GPs) 在受专家建议时,更有可能处方非指南药物,而不是其他GPs.
科学领域:
- 医疗错误可能是医疗错误.
- 医生行为 医生行为
- 卫生政策 卫生政策
背景情况:
- 社会影响,比如牧羊行为,被怀疑是导致医疗错误的因素.
- 以前的研究是观察性的,缺乏对医生决策的实验证据.
研究的目的:
- 通过实验来调查全科医生是否遵循同行或专家的错误处方建议.
- 评估社会影响对遵守临床指南的影响.
主要方法:
- 在英格兰的475名全科医生进行了在线调查.
- 在三个条件下呈现的两种病例 (安眠药,抗生素):控制,其他GP建议,专家建议.
- 主要结果:一般医生在最佳实践指南之外开处方的比例.
主要成果:
- 在专家条件下,处方超出指导方针是最高的,其次是控制,在同行GP条件下最低.
- 对于安眠药,全科医生与对照组相比,在同事全科医生的建议下,偏离指导方针的可能性明显较小.
- 当专家推时,全科医生更倾向于开非指南药物处方.
结论:
- 这项研究提供了第一个实验证据,证明医生群体行为会导致处方错误.
- 一般医生似乎更容易受到非指导方针处方的影响,当受专家的影响.
- 未来的研究应该在其他医疗环境中探索放牧行为,例如诊断.
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