摘要

Purpose: We investigated the relationship between physician clinical experience and inappropriate prostate specific antigen testing using a Taiwan nationwide population based data set. We used physician age as a surrogate for general practice experience and the frequency of ordered prostate specific antigen tests as a surrogate for procedure specific experience. Materials and Methods: This study used data sourced from the 2005 Taiwan National Health Insurance Research Database. We extracted all patients who underwent prostate specific antigen tests in 2005 and their corresponding physicians. A total of 24,595 patients and 2,086 physicians were included. Physician age was categorized into 8 age groups of younger than 31, 31 to 35, 36 to 40, 41 to 45, 46 to 50, 51 to 55, 56 to 60 and 60 years or older. Physicians were divided into 4 groups according to the frequency of prostate specific antigen tests ordered in 40 to 75-year-old patients, including low frequency-less than 1 case per 3 months, medium-between 1 in 3 months and 1 per month, high-between 1 per month and 1 per week, and very high-greater than 1 per week. Results: In sampled physicians the mean ± SD rate of inappropriate prostate specific antigen test use was 30.8% ± 36.6%. Multiple regression analysis showed that after adjusting for other factors physicians who ordered fewer prostate specific antigen tests (those in the low and medium frequency groups) had a higher rate of inappropriate PSA test use than their counterparts who ordered prostate specific antigen tests with very high frequency (each p
原文英語
頁(從 - 到)1954-1958
頁數5
期刊Journal of Urology
180
發行號5
DOIs
出版狀態已發佈 - 十一月 2008

指紋

Prostate-Specific Antigen
Physicians
Taiwan
National Health Programs
General Practice
Age Groups
Regression Analysis
Databases
Research
Population

ASJC Scopus subject areas

  • Urology

引用此文

@article{4c55ca6fce6c4a99936a5974f5a0417b,
title = "Physician Clinical Experience and Inappropriate Prostate Specific Antigen Screening: Evidence From an Asian Country",
abstract = "Purpose: We investigated the relationship between physician clinical experience and inappropriate prostate specific antigen testing using a Taiwan nationwide population based data set. We used physician age as a surrogate for general practice experience and the frequency of ordered prostate specific antigen tests as a surrogate for procedure specific experience. Materials and Methods: This study used data sourced from the 2005 Taiwan National Health Insurance Research Database. We extracted all patients who underwent prostate specific antigen tests in 2005 and their corresponding physicians. A total of 24,595 patients and 2,086 physicians were included. Physician age was categorized into 8 age groups of younger than 31, 31 to 35, 36 to 40, 41 to 45, 46 to 50, 51 to 55, 56 to 60 and 60 years or older. Physicians were divided into 4 groups according to the frequency of prostate specific antigen tests ordered in 40 to 75-year-old patients, including low frequency-less than 1 case per 3 months, medium-between 1 in 3 months and 1 per month, high-between 1 per month and 1 per week, and very high-greater than 1 per week. Results: In sampled physicians the mean ± SD rate of inappropriate prostate specific antigen test use was 30.8{\%} ± 36.6{\%}. Multiple regression analysis showed that after adjusting for other factors physicians who ordered fewer prostate specific antigen tests (those in the low and medium frequency groups) had a higher rate of inappropriate PSA test use than their counterparts who ordered prostate specific antigen tests with very high frequency (each p",
keywords = "clinical competence, professional practice, prostate, prostate-specific antigen, quality of health care",
author = "Kuo, {Nai Wen} and Lin, {Herng Ching} and Lee, {Hsin Chien}",
year = "2008",
month = "11",
doi = "10.1016/j.juro.2008.07.058",
language = "English",
volume = "180",
pages = "1954--1958",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Physician Clinical Experience and Inappropriate Prostate Specific Antigen Screening

T2 - Evidence From an Asian Country

AU - Kuo, Nai Wen

AU - Lin, Herng Ching

AU - Lee, Hsin Chien

PY - 2008/11

Y1 - 2008/11

N2 - Purpose: We investigated the relationship between physician clinical experience and inappropriate prostate specific antigen testing using a Taiwan nationwide population based data set. We used physician age as a surrogate for general practice experience and the frequency of ordered prostate specific antigen tests as a surrogate for procedure specific experience. Materials and Methods: This study used data sourced from the 2005 Taiwan National Health Insurance Research Database. We extracted all patients who underwent prostate specific antigen tests in 2005 and their corresponding physicians. A total of 24,595 patients and 2,086 physicians were included. Physician age was categorized into 8 age groups of younger than 31, 31 to 35, 36 to 40, 41 to 45, 46 to 50, 51 to 55, 56 to 60 and 60 years or older. Physicians were divided into 4 groups according to the frequency of prostate specific antigen tests ordered in 40 to 75-year-old patients, including low frequency-less than 1 case per 3 months, medium-between 1 in 3 months and 1 per month, high-between 1 per month and 1 per week, and very high-greater than 1 per week. Results: In sampled physicians the mean ± SD rate of inappropriate prostate specific antigen test use was 30.8% ± 36.6%. Multiple regression analysis showed that after adjusting for other factors physicians who ordered fewer prostate specific antigen tests (those in the low and medium frequency groups) had a higher rate of inappropriate PSA test use than their counterparts who ordered prostate specific antigen tests with very high frequency (each p

AB - Purpose: We investigated the relationship between physician clinical experience and inappropriate prostate specific antigen testing using a Taiwan nationwide population based data set. We used physician age as a surrogate for general practice experience and the frequency of ordered prostate specific antigen tests as a surrogate for procedure specific experience. Materials and Methods: This study used data sourced from the 2005 Taiwan National Health Insurance Research Database. We extracted all patients who underwent prostate specific antigen tests in 2005 and their corresponding physicians. A total of 24,595 patients and 2,086 physicians were included. Physician age was categorized into 8 age groups of younger than 31, 31 to 35, 36 to 40, 41 to 45, 46 to 50, 51 to 55, 56 to 60 and 60 years or older. Physicians were divided into 4 groups according to the frequency of prostate specific antigen tests ordered in 40 to 75-year-old patients, including low frequency-less than 1 case per 3 months, medium-between 1 in 3 months and 1 per month, high-between 1 per month and 1 per week, and very high-greater than 1 per week. Results: In sampled physicians the mean ± SD rate of inappropriate prostate specific antigen test use was 30.8% ± 36.6%. Multiple regression analysis showed that after adjusting for other factors physicians who ordered fewer prostate specific antigen tests (those in the low and medium frequency groups) had a higher rate of inappropriate PSA test use than their counterparts who ordered prostate specific antigen tests with very high frequency (each p

KW - clinical competence

KW - professional practice

KW - prostate

KW - prostate-specific antigen

KW - quality of health care

UR - http://www.scopus.com/inward/record.url?scp=53249137777&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=53249137777&partnerID=8YFLogxK

U2 - 10.1016/j.juro.2008.07.058

DO - 10.1016/j.juro.2008.07.058

M3 - Article

C2 - 18801533

AN - SCOPUS:53249137777

VL - 180

SP - 1954

EP - 1958

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 5

ER -