Effect of a patient's psychiatric history on physicians' estimation of probability of disease.

摘要: A questionnaire was mailed to 300 Iowa family physicians determine the influence of a prior psychiatric history on decision making. The response rate 77%. Respondents were less likely believe that patient had serious illness when presenting with severe headache or abdominal pain if depression (P<.05) somatic complaints (P<.05), compared no past history. report they would order testing for (P<.05, P=.08, respectively) (P<.01). Differences in likelihood ordering tests not significant after adjusting differences estimated probability disease. We conclude respond differently patients because their estimation pretest disease rather than bias. influences physicians’ presence and willingness tests.