مورد إلكتروني
Perceived difficulty and appropriateness of decision making by General Practitioners: a systematic review of scenario studies
| العنوان: | Perceived difficulty and appropriateness of decision making by General Practitioners: a systematic review of scenario studies |
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| المؤلفون: | McCleary, N, Ramsay, CR, Francis, JJ, Campbell, MK, Allan, J |
| بيانات النشر: | BMC 2014-11-29 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | BACKGROUND: Health-care quality in primary care depends largely on the appropriateness of General Practitioners' (GPs; Primary Care or Family Physicians) decisions, which may be influenced by how difficult they perceive decisions to be. Patient scenarios (clinical or case vignettes) are widely used to investigate GPs' decision making. This review aimed to identify the extent to which perceived decision difficulty, decision appropriateness, and their relationship have been assessed in scenario studies of GPs' decision making; identify possible determinants of difficulty and appropriateness; and investigate the relationship between difficulty and appropriateness. METHODS: MEDLINE, EMBASE, PsycINFO, the Cochrane Library and Web of Science were searched for scenario studies of GPs' decision making. One author completed article screening. Ten percent of titles and abstracts were checked by an independent volunteer, resulting in 91% agreement. Data on decision difficulty and appropriateness were extracted by one author and descriptively synthesised. Chi-squared tests were used to explore associations between decision appropriateness, decision type and decision appropriateness assessment method. RESULTS: Of 152 included studies, 66 assessed decision appropriateness and five assessed perceived difficulty. While no studies assessed the relationship between perceived difficulty and appropriateness, one study objectively varied the difficulty of the scenarios and assessed the relationship between a measure of objective difficulty and appropriateness. Across 38 studies where calculations were possible, 62% of the decisions were appropriate as defined by the appropriateness standard used. Chi-squared tests identified statistically significant associations between decision appropriateness, decision type and decision appropriateness assessment method. Findings suggested a negative relationship between decision difficulty and appropriateness, while interventions may have the potent |
| مصطلحات الفهرس: | Journal Article |
| URL: | |
| الإتاحة: | Open access content. Open access content CC BY https://creativecommons.org/licenses/by/4.0 |
| أرقام أخرى: | UMV oai:jupiter.its.unimelb.edu.au:11343/244911 McCleary, N., Ramsay, C. R., Francis, J. J., Campbell, M. K. & Allan, J. (2014). Perceived difficulty and appropriateness of decision making by General Practitioners: a systematic review of scenario studies. BMC HEALTH SERVICES RESEARCH, 14 (1), https://doi.org/10.1186/s12913-014-0621-2. 10.1186/s12913-014-0621-2 1472-6963 1472-6963 1315677693 |
| المصدر المساهم: | UNIV OF MELBOURNE From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1315677693 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |