Key result
U.S. primary care providers engaged in more information seeking and prescribing for CHD and depression compared to U.K. providers, despite high overall consistency in diagnosis between the countries.
Why the study?
How do patient attributes, provider characteristics, and healthcare systems influence clinical decision-making for CHD and depression among primary care providers in the US and UK?
RCT (n=256)
Random order (factorial design)
Yes
How do patient attributes, provider characteristics, and healthcare systems influence clinical decision-making for CHD and depression among primary care providers in the US and UK?
Answers are grounded in this paper and cite their sources.
Patient attributes, provider characteristics, and national healthcare systems significantly influence clinical decision-making in the management of coronary heart disease and depression.
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McKinlay et al. (2006) conducted an RCT in Coronary heart disease (CHD) and depression (n=256). Videotaped patient vignettes with systematically varied characteristics vs. Different patient characteristics and provider countries (U.S. vs. U.K.) was evaluated on Provider decision-making outcomes (diagnosis, information seeking, test ordering, prescribing behavior, lifestyle recommendations, and referrals/follow-ups). U.S. primary care providers engaged in more information seeking and prescribing for CHD and depression compared to U.K. providers, despite high overall consistency in diagnosis between the countries.
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