Patient and physician characteristics influencing medical decisions in asthma

The present study explores the complex interplay of objective indices of illness-severity and personal characteristics of patients and physicians as they influence judged illness-severity and medical decisions concerning length of hospitalization and intensity of prescribed oral corticosteroids in a...

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Veröffentlicht in:The Journal of asthma 1978-01, Vol.15 (4), p.171-178
Hauptverfasser: Dirks, Jerald F., Horton, Douglas J., Kinsman, Robert A., Fross, Kenneth H., Jones, Nelson F.
Format: Artikel
Sprache:eng
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Zusammenfassung:The present study explores the complex interplay of objective indices of illness-severity and personal characteristics of patients and physicians as they influence judged illness-severity and medical decisions concerning length of hospitalization and intensity of prescribed oral corticosteroids in a chronic asthmatic population. The results indicate that, depending on the physician's personal characteristics, he may: a) confuse his patient's psychological physical distress, resulting in medical judgment and decisions being influenced by patient personality; b) accurately distinguish between psychological physical distress but treat a psychological problem as though it were a medical problem; c) judge and treat the patient's illness objectively, regardless of the patient's personality. These findings stress the importance of expanding the present biomedical model of medicine to include a better appreciation of how social, psychological, and behavioral factors influence the medical decisions about treatment and the resulting outcome.
ISSN:0277-0903
0021-9134
1532-4303
DOI:10.3109/02770907809106603