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Summary information

Study title

Judgement Analysis of the Clinical Policies of Cardiologists, Care of the Elderly Specialists and General Practitioners, 2002

Creator

Harvey, N., University College London
Bowling, A., Institute for Social Studies in Medical Care
Forrest, D., University College London
Harries, C., University College London
Hemingway, H., University College London

Study number / PID

4647 (UKDA)

10.5255/UKDA-SN-4647-1 (DOI)

Data access

Restricted

Series

Not available

Abstract

Abstract copyright UK Data Service and data collection copyright owner.


The main aims of the study were to measure the extent of any inequalities in treatment between age groups within the NHS in relation to cardiovascular disease, which has multi-risk profiles, involving the use of expensive medical technologies. The objectives were to measure and analyse i) actual decisions and ii) tacit and stated (theoretical) clinical decision policies, in the face of risk of arterial disease by age of the patient.
Main Topics:

The data comprise information about the hypothetical patients seen by physicians via a computer-presented task, the amount and order in which information about these patients was searched and the decisions and comments that were made on these patients. All patients presented with chest discomfort and had 'suspected angina' written in their notes. Also contained in the dataset are each physician's indications of which pieces of patient information had influenced their decision making and the data from graph plots indicating how these pieces of information had been influential.

Topics

Health care services and policiesSpecific diseases, disorders and medical conditionsGeneral health and well-being

Keywords

ADULTS (ELSST)AGE (ELSST)AGE DISCRIMINATION (ELSST)ATTITUDES (ELSST)CARDIOVASCULAR DISEASES (ELSST)CLINICAL TESTS AND MEASUREMENTS (ELSST)DECISION MAKING (ELSST)ELDERLY (ELSST)ETHNIC GROUPS (ELSST)GENDERGENERAL PRACTITIONERS (ELSST)GERIATRICS (ELSST)
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Methodology

Data collection period

01/09/2000 - 01/07/2002

Country

England

Time dimension

Cross-sectional (one-time) study

Analysis unit

Individuals
National

Universe

Cardiologists, care of the elderly physicians and general practitioners working in the NHS in England during 2000 to 2002, focussing on decision making for hypothetical patients aged 45-92 with chest discomfort. The doctors were spread over several sites: London (St. Thomas's, St. Mary's, Chelsea and Westminster, Charing Cross, Royal Brompton and Hammersmith); Northampton; Sussex; Nottingham; Leicester; Bournemouth; Ashford.

Sampling procedure

The sample consists of those cardiologists, care of the elderly physicians and general practitioners, who were willing to participate after extensive notices, direct contact, contact via colleagues and so on.

Kind of data

Text
Numeric

Data collection mode

Face-to-face interview
Computer-presented task. This presented hypothetical cases to the physician. The computer task, graphs and importance indications were administered in face-to-face meetings.

Funding information

Grant number

R000238247

Access

Publisher

UK Data Service

Publication year

2003

Terms of data access

The Data Collection is available to UK Data Service registered users subject to the End User Licence Agreement.

Commercial use of the data requires approval from the data owner or their nominee. The UK Data Service will contact you.

Related publications

Not available