IDEAS home Printed from https://ideas.repec.org/p/hhs/oslohe/2005_012.html
   My bibliography  Save this paper

Decision-making in General Practice: The importance of laboratory analyses when choosing medical actions

Author

Listed:
  • Fauli, Siri

    () (The Norwegian Medical Association, The Norwegian Quality Improvement of)

  • Thue, Geir

    (The Norwegian Quality Improvement of Laboratory Services in Primary Care)

Abstract

The focus of this study is the effect of a laboratory analysis and socioeconomic variables on choosing medical actions in a specific situation (a clinical vignette - a young woman, Mrs Hansen, with dyspepsia - presented to GPs). We assume that the GP’s decision depends on what he or she thinks is best for the patients, based on the best clinical evidence available. Significant variables associated with the choice of medical actions are: the result of the Helicobacter pylori (HP) test, the GP’s stated importance of HPRT, the location of the general practice, the GP recommending sick leave, the GP’s stated probability that Mrs Hansen’s symptoms are due to a H.pylori infection after the HP-result is known, and how the GP follows up the patient. Our results show that the HP-analysis has a significant and major influence on the GPs choice of medical actions. Therefore the quality of the analysis is likely to affect the patients’ health and social costs. Hence institutions for quality monitoring and improvement are important elements of health care reforms. Such institutions should balance cost and benefits of quality improving measures, and will be the focus of closer studies in our future research.

Suggested Citation

  • Fauli, Siri & Thue, Geir, 2009. "Decision-making in General Practice: The importance of laboratory analyses when choosing medical actions," HERO On line Working Paper Series 2005:12, Oslo University, Health Economics Research Programme.
  • Handle: RePEc:hhs:oslohe:2005_012
    as

    Download full text from publisher

    File URL: http://www.hero.uio.no/publicat/2005/HERO2005_12.pdf
    Download Restriction: no

    More about this item

    Keywords

    Discrete choice models; Decision-making; Primary Health Care;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hhs:oslohe:2005_012. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Anbjørg Kolaas). General contact details of provider: http://edirc.repec.org/data/heuiono.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.