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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0124081
Code Inist : 002B30A01C. Création : 199406.