Development of Attitudes about Sharing Decision-Making: A Comparison of Medical and Surgical Residents

Provider Attitudes Associated With Adherence to Evidence-Based Clinical Guidelines in a Managed Care Setting

“…Given the same attitudes to quality targets and identical physician characteristics, a 1-point increase on the peer cooperation scale doubled the odds of being in the highest adherence tertile. The association between peer cooperation and physician behavior in this study is consistent with prior studies (Eisenberg, Kitz, & Webber, 1983;Larme & Pugh, 1998), which found that guideline adherence is enhanced by positive interaction with supportive colleagues, while lack of peer support is a barrier to adherence. Policy makers should engage physician champions and opinion leaders to rally their peers behind quality-of-care programs.…”

“…The provider specialty is also associated with prescribing habits (Mainous et al, 1998;Tamblyn et al, 2003). Our findings highlight the importance of specialty-level variations in care quality (Francis et al, 2006) that could reflect different practice cultures (Boulis & Long, 2002;Jorm & Kam, 2004;Rosen, 1995) resulting from professional socialization (Eisenberg et al, 1983) or different attributes among trainees in the various specialties (Linn & Zeppa, 1980). Future studies should investigate entry-level attributes of providers versus learned behavior resulting from professional socialization so as to clarify how quality initiatives might take specialty differences into account.…”

Doctors' compliance with national guidelines and clinical pathway on the treatment of tuberculosis inpatients in Hubei, China

“…A serious threat is the potential increasing incidence of TB drug resistance as the result of inappropriate usage of drug regimens [12,13]. The reason why they do not prescribe the standard drug regimens may be their lack of knowledge and practice on the implementation of NTP guidelines, or even if some doctors know the standard drug regimens, they will not completely comply with the regimens, which is presented in previous study [26], and some published studies have suggested that implementation strategies that utilize well‐respected doctor champions may improve guideline compliance [27,28], which can be tried out in the TB hospital. For the drug dosages, INH was always overdosed, which is similar to other countries' findings.…”

Research and development of models and instruments to define, measure, and improve shared information processing with government oversight agencies. An analysis of the literature, August 1990--January 1992

“…When the decision was perceived as important, superiors wouldn't share decision making, regardless of the subordinate's job skills. Eisenberg, Kitz, and Webber (1983) suggest sharing authority for decision making among surgical residents is affected by, among other factors, the hierarchical nature of their programs. I argue this unwillingness to share authority is in part a positional phenomena.…”