Table 4 Rationale for selecting Level 1 or Level 3 clinical management strategies, stratified by physician characteristics and self-reported factors that influence clinical practice (N = 79)
Selected rationale | Clinical strategy | Physician characteristics | Self-reported factors that influence clinical practice | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Clinical practice includes primary care | Attending physician | Malpractice concerns | Practice guidelines | ||||||||||
Yes, % | No, % | P value | Yes, % | No, % | P value | Yes, % | No, % | P value | Yes, % | No, % | P value | ||
Supportive evidence | Level 1 | 64 | 62 | 0.97 | 64 | 62 | 0.67 | 57 | 64 | 0.32 | 63 | 64 | 0.87 |
Level 3 | 30 | 30 | 0.70 | 31 | 29 | 0.72 | 29 | 30 | 0.79 | 30 | 31 | 0.81 | |
Local practice patterns | Level 1 | 38 | 38 | 0.80 | 31 | 41 | 0.16 | 12 | 43 | < 0.001 | 37 | 38 | 0.98 |
Level 3 | 29 | 28 | 0.94 | 27 | 30 | 0.39 | 11 | 32 | < 0.001 | 28 | 31 | 0.43 | |
Rule out more serious conditions | Level 1 | 19 | 17 | 0.17 | 20 | 17 | 0.15 | 27 | 16 | 0.18 | 19 | 14 | 0.17 |
Level 3 | 27 | 25 | 0.51 | 28 | 25 | 0.26 | 31 | 25 | 0.53 | 28 | 20 | 0.13 | |
Supervisor expectations | Level 1 | 9 | 26 | < 0.001 | 3 | 26 | < 0.001 | 1 | 21 | 0.003 | 21 | 4 | 0.004 |
Level 3 | 6 | 22 | < 0.001 | 2 | 21 | < 0.001 | 1 | 17 | 0.005 | 17 | 5 | 0.02 | |
Academic purposes | Level 1 | 2 | 3 | 0.26 | 1 | 3 | 0.40 | 1 | 3 | 0.36 | 3 | 1 | 0.16 |
Level 3 | 3 | 3 | 0.69 | 2 | 4 | 0.20 | 2 | 4 | 0.33 | 4 | 2 | 0.43 | |
Malpractice concerns | Level 1 | 2 | 4 | 0.02 | 1 | 4 | 0.02 | 1 | 4 | 0.11 | 4 | 1 | 0.04 |
Level 3 | 3 | 5 | 0.10 | 2 | 5 | 0.01 | 2 | 4 | 0.13 | 5 | 2 | 0.36 | |