ArticleMedical care research and review : MCRR2011
Differences between internists and family practitioners in the diagnosis and management of the same patient with coronary heart disease.
Article in Medical care research and review : MCRR, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Factors Influencing the Referral of Patients with Prediabetes to a Diabetes Prevention Program in the Bronx, New York.Preventing chronic disease · 2023Article
- Cardiology providers' recommendations for treatments and use of patient decision aids for multivessel coronary artery disease.BMC cardiovascular disorders · 2021Article
- Association Between HEDIS Performance and Primary Care Physician Age, Group Affiliation, Training, and Participation in ACA Exchanges.Journal of general internal medicine · 2020Observational
- Procedures performed by general practitioners and general internal medicine physicians - a comparison based on routine data from Northern Germany.BMC family practice · 2018Article
- Does implementation of a hospitalist program in a Canadian community hospital improve measures of quality of care and utilization? an observational comparative analysis of hospitalists vs. traditional care providers.BMC health services research · 2013Article
- Physician styles of patient management as a potential source of disparities: cluster analysis from a factorial experiment.Health services research · 2013Article
- Comparison of Family Medicine and General Internal Medicine on Diabetes Management.Missouri medicineArticle
- Physician styles of decision-making for a complex condition: Type 2 diabetes with co-morbid mental illness.European journal for person centered healthcareArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
It has been suggested that internists and family practitioners have somewhat different "disease" perspectives, which may be generated by use of different explanatory models during medical training (pathophysiological vs. biopsychosocial, respectively). This article explores differences between internists and family practitioners in their suggested diagnoses, level of diagnostic certainty, test and prescription ordering, when encountering exactly the same "patient" with coronary heart disease (CHD). Internists were more certain of a CHD diagnosis than family practitioners and were more likely to act on this diagnosis. Family practitioners were more likely to diagnose (and were more certain of) a mental health condition. While many physicians simultaneously entertain several alternate diagnoses, diagnostic certainty has shown to have an important influence on subsequent clinical actions, such as stress testing and prescription of beta blockers. These results may inform future educational strategies designed to reduce diagnostic uncertainty in the face of life-threatening conditions, such as CHD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.