Examining primary care physician rationale for not following geriatric choosing wisely recommendations.

ABSTRACT:

Background

The objective is to understand why physicians order tests or treatments in older adults contrary to published recommendations.

Methods

Participants: Physicians above the median for ≥ 1 measures of overuse representing 3 Choosing Wisely topics.

Measurements

Participants evaluated decisions in a semi-structured interview regarding: 1) Screening men aged ≥ 76 with prostate specific antigen 2) Ordering urine studies in women ≥ 65 without symptoms 3) Overtreating adults aged ≥ 75 with insulin or oral hypoglycemic medications. Two investigators independently coded transcripts using qualitative analysis.

Results

Nineteen interviews were conducted across the three topics resulting in four themes. First, physicians were aware and knowledgeable of guidelines.

SUBMITTER: Rowe TA 

PROVIDER: S-EPMC8126116 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature