The major purpose was to explore the use of written case scenarios to investigate factors associated with regional variations in referral for consultation.
Data were collected in Nova Scotia, where extensive computer-based records of utilization of health services are kept, and the nine health care regions are in sufficient proximity to make visits and interviews feasible.
Interviews with 9x25=225 randomly-selected family physicians, using scenarios analogous to ICD-9 codes, permitted testing of hypotheses about the effects of selected variables on referral rates for hypothetical cases.
The family physicians' self-reported referral behavior for the written case scenarios was compared, region by region, with the actual referral of analogous cases by physicans in the same region.
Mots-clés Pascal : Amérique du Nord, Amérique, Utilisation, Soin, Entretien, Médecin, Simulation, Etude cas, Variation géographique, Prise décision, Pratique professionnelle, Méthodologie, Personnel sanitaire, Canada, Consultation
Mots-clés Pascal anglais : North America, America, Use, Care, Interview, Physician, Simulation, Case study, Geographical variation, Decision making, Professional practice, Methodology, Health staff, Canada
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 91-0472048
Code Inist : 002B30A. Création : 199406.