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The effect of physician characteristics on compliance with adult preventive care guidelines
Journal article   Peer reviewed

The effect of physician characteristics on compliance with adult preventive care guidelines

J W Ely, C J Goerdt, G R Bergus, C P West, J D Dawson and B N Doebbeling
Family medicine, Vol.30(1), pp.34-39
01/1998
PMID: 9460614

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Abstract

This study identified physician characteristics and attitudes related to self-reported compliance with adult prevention guidelines. A questionnaire was mailed to family practice and internal medicine residents and faculty at the University of Iowa (n = 209). The questionnaire's 78 items fell into seven categories, including physician demographics, history-taking practices, counseling practices, self-perceived effectiveness in changing patient behavior, beliefs about preventive care, knowledge about preventive care, and perceived barriers to the delivery of preventive care. Compliance with history-taking recommendations was independently associated with high knowledge scores, female physician gender, and high self-perceived effectiveness in changing patient behavior. The only factor that was independently associated with counseling efforts was self-perceived effectiveness in changing patient behavior. Factors that were independently associated with self-reported preventive care efforts include female physician gender, knowledge about preventive care guidelines, and perceived effectiveness in changing patient behavior. After controlling for these factors, other variables such as lack of time, lack of reminder systems, attitudes about preventive care, and amount of formal preventive care education were not related to self-reported compliance with counseling and history-taking recommendations.
 Counseling Medical History Taking Multivariate Analysis Humans Middle Aged Hospitals, University Male Physician-Patient Relations Preventive Medicine - standards Practice Patterns, Physicians' - trends Iowa Guideline Adherence Analysis of Variance Adult Female Outcome Assessment (Health Care) - trends Health Care Surveys Practice Guidelines as Topic

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