Physician characteristics affecting referral decisions following an exercise tolerance test

Hartz, Arthur J.; Deber, Raisa; Bartholomew, Mary J.; Midtling, John E.

doi:10.1001/archfami.2.5.513

Cited by 4 publications

(3 citation statements)

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“…Several surveys of primary care physicians and psychologists in the U.S. showed that fear of a malpractice lawsuit was strongly associated with their tendency to refer (Franks et al , 2000; Hartz et al , 1993; Wilbert and Fulero, 1988). Sixty three percent of American physicians responding to a 1993 national survey reported increased rate of referrals for consultation due to malpractice concerns (Kessler and McClellan, 1997).…”

Section: Discussionmentioning

confidence: 99%

“…There has been a dearth of research on how the liability system may affect physicians’ referrals, and the studies available have reported mixed findings and have exclusively focused on referrals made (as opposed to referrals received). Several surveys of primary care physicians and psychologists in the United States showed that fear of a malpractice lawsuit was strongly associated with their tendency to refer (Hartz et al ., 1993; Wilbert and Fulero, 1988; Franks et al ., 2000). Sixty-three percent of American physicians responding to a 1993 national survey reported increased rate of referrals for consultation because of malpractice concerns (Kessler and McClellan, 1997).…”

Section: Discussionmentioning

confidence: 99%

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The effect of medical malpractice liability on rate of referrals received by specialist physicians

Spurr

Nan

et al. 2013

HEPL

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Using nationally representative data from the U.S., this paper analyzed the effect of a state’s medical malpractice environment on referral visits received by specialist physicians. The analytic sample included 12,839 ambulatory visits to specialist care doctors in office-based settings in the U.S. during 2003–2007. Whether the patient was referred for the visit was examined for its association with the state’s malpractice environment, assessed by the frequency and severity of paid medical malpractice claims, medical malpractice insurance premiums, and an indicator for whether the state had a cap on noneconomic damages. After accounting for potential confounders such as economic or professional incentives within practices, the analysis showed that statutory caps on noneconomic damages of $250,000 were significantly associated with lower likelihood of a specialist receiving referrals, suggesting a potential impact of a state’s medical malpractice environment on physicians’ referral behavior.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effect of medical malpractice liability on rate of referrals received by specialist physicians

Spurr

Nan

et al. 2013

HEPL

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“…We recruited separate convenience samples of physicians for the three-vessel and two-vessel surveys. Since generalists care for many patients with stable CAD, and often make the decision to refer to cardiologists for consideration of revascularization, 24 while cardiologists usually decide what kind of revascularization, if any, is necessary, our goal was to survey both generalists and cardiologists. Therefore, we distributed surveys at venues likely to be attended by both primary care physicians and cardiologists.…”

Section: Physician Subjectsmentioning

confidence: 99%

Physicians’ Judgments of Survival After Medical Management and Mortality Risk Reduction Due to Revascularization Procedures for Patients With Coronary Artery Disease

Poses

Krueger

Sloman

et al. 2002

Chest

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Novel Internet-based Tool for Correcting Apparent Sensitivity and Specificity of Diagnostic Tests to Adjust for Referral (Verification) Bias

Danias

Parker²

2002

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Referral (verification) bias-the selective sampling of a population under evaluation for definitive confirmation of disease status-has been recognized as affecting the measured sensitivity and specificity of diagnostic tests. The authors developed an Internet-based Java applet to correct the apparent (measured) values of sensitivity and specificity of diagnostic tests to adjust for referral (verification) bias. The applet was applied to the diagnosis of coronary artery disease by means of exercise stress testing. Referral rates for coronary arteriography can be adjusted separately for patients with positive and negative test results. The more complicated situation, in which the results are stratified in terms of exercise heart rate, was also investigated.

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Physician characteristics affecting referral decisions following an exercise tolerance test

Cited by 4 publications

References 0 publications

The effect of medical malpractice liability on rate of referrals received by specialist physicians

The effect of medical malpractice liability on rate of referrals received by specialist physicians

Physicians’ Judgments of Survival After Medical Management and Mortality Risk Reduction Due to Revascularization Procedures for Patients With Coronary Artery Disease

Novel Internet-based Tool for Correcting Apparent Sensitivity and Specificity of Diagnostic Tests to Adjust for Referral (Verification) Bias

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