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INTERDOCTOR VARIATION

INTERDOCTOR VARIATION. INGE OKKES & HENK LAMBERTS. INTERDOCTOR VARIATION. IS IT GOOD? IS IT BAD? CAN WE TELL?. Use of humour in primary care: different perceptions among patients and physicians. Granek-Catarivas M, Goldstein-Ferber S, Azuri Y, Vinker S, Kahan E.

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INTERDOCTOR VARIATION

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  1. INTERDOCTOR VARIATION INGE OKKES & HENK LAMBERTS

  2. INTERDOCTOR VARIATION IS IT GOOD? IS IT BAD? CAN WE TELL?

  3. 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 2005;81:126-30.

  4. Do Physicians Discuss Political Issues with Their Patients? Turner BJ. Gen Intern Med 2006;21: 400–401.

  5. Factors determining the use of personal digital assistants among physicians Vogel EW, Gracely EJ, Kwon Y, Maulitz RC. Telemed J E Health. 2009;15:270-6.

  6. INTERDOCTOR VARIATION 1

  7. Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity

  8. 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.....

  9. THE MODERN PATIENT – THREAT OR PROMISE? PHYSICIANS’ PERSPECTIVES ON PATIENTS' CHANGING ATTRIBUTES Dieterich A. Patient Educ Couns 2007;67:279-85.

  10. PHYSICIANS' VIEWS ON THE INFLUENCE OF PATIENT PARTICIPATION ON TREATMENT DECISIONS - AN EXPLORATIVE STUDY Jaakkola E. Health Serv Manage Res 2007;20:174-82.

  11. 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 2008;65:674-95.

  12. VARIATIONDUE TO CIRCUMSTANCES

  13. NATIONAL DATA

  14. 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. 2008;25:245-65.

  15. ‘LESS DESIRABLE’ VARIATION

  16. FAMILY PHYSICIANS' PROFICIENCY IN URINE DRUG TEST INTERPRETATION Reisfield GM, Webb FJ, Bertholf RL, Sloan PA, Wilson GR. J Opioid Manag 2007;3:333-7.

  17. PHYSICIANS' KNOWLEDGE IN ISRAEL ON THE BIOLOGY AND CONTROL OF HEAD LICE Mumcuoglu KY, Mumcuoglu M, Danilevich M, Gilead L. [Hebrew] Harefuah 2008;147:754-7, 840.

  18. 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 2005;7:605-10.

  19. 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 2007;2:722-8.

  20. INTERDOCTOR VARIATION 2

  21. For discussion1. prevention & the doctor’s initiative

  22. PHYSICIAN PRACTICE PATTERNS AND VARIATION IN THE DELIVERY OF PREVENTIVE SERVICES Flocke SA, Litaker D. J Gen Intern Med 2007;22:191-6.

  23. Confronting and coping with weight stigma: an investigation of overweight and obese adults Puhl RM, Brownell KD. Obesity 2006;14:1802-15.

  24. Pärna K, Rahu K, Barengo NC, Rahu M, Sandström PH, Jormanainen VJ, Myllykangas MT. Soz Praventivmed 2005;50:378-88. ‘ The little involvement of GPs in health promotion activities regarding tobacco control is of concern’

  25. ‘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 2003;290:2660

  26. ALL EPISODES FOR RFE *64 (N=34810)

  27. With regard to prevention it is probably fair to say: thedoctor should yield………..

  28. For discussion2. matters of conscience

  29. 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 2008;34:247-53. ambulatory care: results of a postal survey

  30. 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 ;33:1732-9.

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