INTERDOCTOR VARIATION

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INTERDOCTOR VARIATION

• INGE OKKES HENK LAMBERTS

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INTERDOCTOR VARIATION

• IS IT GOOD?
• IS IT BAD?
• CAN WE TELL?

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Use of humour in primary care
different perceptions among patients
and physicians

• Granek-Catarivas M, Goldstein-Ferber S, Azuri Y,
  Vinker S, Kahan E.
• Postgrad Med J 200581126-30.

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Do Physicians Discuss Political Issues with Their
Patients?

• Turner BJ. Gen Intern Med 200621 400401.

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Factors determining the use of personal digital
assistants among physicians Vogel EW, Gracely
EJ, Kwon Y, Maulitz RC. Telemed J E Health.
200915270-6.
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INTERDOCTOR VARIATION 1
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Health is a state of complete physical, mental
and social well-being and not merely the absence
of disease or infirmity
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• Doctors cannot possibly promote all their
  patients well being in all realms of life
• ....they are no experts in everything......
• Physicians cannot usually figure out what will
  benefit their patients they have to ask the
  patient
• ....even in medical issues.....

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THE MODERN PATIENT THREAT OR PROMISE?
PHYSICIANS PERSPECTIVES ON PATIENTS' CHANGING
ATTRIBUTES
Dieterich A. Patient Educ Couns
200767279-85.
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PHYSICIANS' VIEWS ON THE INFLUENCE OF PATIENT
PARTICIPATION ON TREATMENT DECISIONS - AN
EXPLORATIVE STUDY Jaakkola E. Health Serv
Manage Res 200720174-82.
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Primary care physicians evaluation and
treatment of depression
Epstein SA, Hooper LM, Weinfurt KP, Depuy V,
Cooper LA, Harless WG, Tracy CM. Med Care Res Rev
200865674-95.
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VARIATIONDUE TO CIRCUMSTANCES
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NATIONAL DATA
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BURNOUT IN EUROPEAN FAMILY DOCTORS THE EGPRN
STUDY
Soler JK, Yaman H, Esteva M, Dobbs F,
Asenova RS, Katic M, Ozvacic Z, Desgranges JP,
Moreau A, Lionis C, Kotányi P, Carelli F, Nowak
PR, de Aguiar Sá Azeredo Z, Marklund E, Churchill
D, Ungan M. Fam Pract. 200825245-65.
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LESS DESIRABLE VARIATION
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FAMILY PHYSICIANS' PROFICIENCY IN URINE DRUG TEST
INTERPRETATION
Reisfield GM, Webb FJ, Bertholf RL, Sloan
PA, Wilson GR. J Opioid Manag 20073333-7.
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PHYSICIANS' KNOWLEDGE IN ISRAEL ON THE BIOLOGY
AND CONTROL OF HEAD LICE Mumcuoglu KY,
Mumcuoglu M, Danilevich M, Gilead L. Hebrew
Harefuah 2008147754-7, 840.
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DEFICIENCY OF KNOWLEDGE OF GENETICS AND GENETIC
TESTS AMONG GENERAL PRACTITIONERS, GYNECOLOGISTS,
AND PEDIATRICIANS A GLOBAL PROBLEM Baars
MJ, Henneman L, Ten Kate LP. Genet Med
20057605-10.
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DIFFERENCES IN PRIMARY CARE CLINICIANS' APPROACH
TO NON-SMALL CELL LUNG CANCER PATIENTS COMPARED
WITH BREAST CANCER Wassenaar TR, Eickhoff
JC, Jarzemsky DR, Smith SS, Larson ML, Schiller
JH. J Thorac Oncol 20072722-8.
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INTERDOCTOR VARIATION 2
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For discussion1. prevention the doctors
initiative
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PHYSICIAN PRACTICE PATTERNS AND VARIATION IN
THE DELIVERY OF PREVENTIVE SERVICES Flocke
SA, Litaker D. J Gen Intern Med 200722191-6.
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Confronting and coping with weight
stigma an investigation of overweight and obese
adults
Puhl RM, Brownell KD. Obesity 2006141802-15.
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• The little involvement of GPs in health
  promotion activities regarding tobacco control is
  of concern

Pärna K, Rahu K, Barengo NC, Rahu M, Sandström
PH, Jormanainen VJ, Myllykangas MT. Soz
Praventivmed 200550378-88.
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• For many patients, a perpetual diet of tofu
• bake, soy beverage, and psyllium is not an
• optimal way to maximize future well being
• Veatch RM. Ethical aspects of recommending life
  style
• interventions to patients. JAMA 20032902660

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ALL EPISODES FOR RFE 64 (N34810)
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With regard to prevention it is probably fair
to say thedoctor should yield..
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For discussion2. matters of conscience
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INFLUENCE OF PHYSICIANS' LIFE STANCES ON
ATTITUDES TO END-OF-LIFE DECISIONS AND
END-OF-LIFE DECISION-MAKING IN SIX COUNTRIES

Cohen J, van Delden J, Mortier F, Löfmark R,
Norup M, Cartwright C, Faisst K, Canova C,
Onwuteaka-Philipsen B, Bilsen J. J Med Ethics
200834247-53.
ambulatory care results of a postal survey
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The importance of religious affiliation and
culture on end-of-life decisions in European
intensive care units
Sprung CL, Maia P, Bulow HH, Ricou B, Armaganidis
A, Baras M, Wennberg E, Reinhart K, Cohen SL,
Fries DR, Nakos G, Thijs LG. Intensive Care Med.
2007 331732-9.
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DOCTORS' ATTITUDES TOWARDS INVASIVE PRENATAL
DIAGNOSIS
Pitukkijronnakorn S, Manonai J, Chittacharoen
A. J Obstet Gynaecol Res 20093573-7.
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PHYSICIANS' INTENTION TO EDUCATE ABOUT
EMERGENCY CONTRACEPTION Kelly PJ, Sable MR,
Schwartz LR, Lisbon E, Hall MA. Fam Med
20084040-5.
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MALTA TIMES JUNE 21, 2009
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In matters of conscience, it is probably fair
to say doctor should yield only if s/he can
without personal conflict. If nottry to refer
the patient to someone who can!
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INTERDOCTOR VARIATION 2
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INTERDOCTOR VARIATION

• IS IT GOOD?
• IS IT BAD?
• CAN WE TELL?

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