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  1. Revisiting the most informed consumer of surgical services: the physician-patient.

    Article - En anglais

    Little is known about the consumption of medical and surgical services by the most informed consumer in the health care market: the physician-patient.

    Such knowledge should be important for the understanding of the role of information on consumption, supplier-induced demand, the doctor-patient relationship, unnecessary medical services, and the adequacy of professional practices to the real health needs of the « ordinary patient ».

    We measured by questionnaire the standardized consumption of seven common surgical procedures.

    Except for appendectomy, the age- and sex-standardized consumption for each of the common surgical procedures was always significantly higher in the general population than for the « gold standard » of physician-patients.

    The data suggest that (a) contrary to prior research, doctors have much lower rates of surgery than does the general population; and (b) in a fee-for-services health care market without financial barriers to medical care, less-informed patients are greater consumers of common surgical procedures.

    Mots-clés Pascal : Médecin, Utilisation, Service santé, Chirurgie, Homme, Information biomédicale, Suisse, Système santé, Etats Unis, Médecin malade, Europe, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Physician, Use, Health service, Surgery, Human, Biomedical information, Switzerland, Health system, United States, Europe, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0124081

    Code Inist : 002B30A01C. Création : 199406.