Older doctors less likely to follow current standards of care

BOSTON, MA-HMS researchers report in the Annals of Internal Medicine that older physicians may be less likely to deliver currently accepted standards care. The study's findings show that the number of years a doctor has been in practice may decrease the likelihood of the doctor providing technically appropriate care.

"The results are paradoxical since it is generally assumed that clinical experience enhances knowledge and skill and therefore leads to better patient care," says lead author Niteesh Choudhry, HMS instructor in medicine. Choudhry performed the research as a pharmaceutical policy research fellow at the Department of Ambulatory Care and Prevention, a unique research and teaching collaboration between Harvard Pilgrim Health Care and Harvard Medical School.

The study included a review of 59 previously published papers (comprising 62 individual studies) with a large sample size of doctors. These studies included measures of physician knowledge or quality of care and also included the time since the physician's medical school graduation or the physician's age. The researchers found that 73 percent of these studies (45 of 62) showed that a doctor's performance declines with time. More than half of these studies (32 of 62, or 52 percent) showed that performance declines for all of the outcomes measured, and 13 studies (21 percent) showed that some but not all aspects of a doctor's performance decline with time.

"The findings also reflect the substantial environmental changes that have occurred in medicine over the past several decades. Evidence-based medicine has been widely adopted and quality assurance techniques, such as disease management and performance evaluation, are frequently used. More experienced doctors may have less familiarity with these strategies and may be less accepting of them," says co-author Stephen Soumerai, HMS professor of ambulatory care and prevention.

There are many possible explanations for these findi

Contact: Leah Gourley
Harvard Medical School

Page: 1 2 3 4

Related medicine news :

1. Older women can benefit from chemotherapy to treat breast cancer
2. Older people get the big picture faster, and they are less inhibited
3. Older people with the Alzheimers gene find it harder to remember to remember even if healthy
4. Older patients with chronic kidney disease are costly as they transition to dialysis
5. Older patients less likely to receive care in the ICU
6. Older people recover from disabling events at higher rate than previously thought
7. Older people lose out all round in breast cancer treatment and care
8. Older patients need special attention in the dental chair
9. Older prostate cancer patients may face age bias
10. Older people and their homes
11. Older age of male partners makes young women more susceptible to HIV-1 infection

Post Your Comments:

(Date:8/5/2020)... ... 05, 2020 , ... Today, YPO Africa , a global leadership community ... for Africa, announced that they have entered into a unique bilateral alliance. The key ... each other in their African impact efforts, with an initial focus on YPO’s ...
(Date:8/5/2020)... (PRWEB) , ... August 04, 2020 , ... ... adults living with memory impairment, has announced the Best Memory Care Facilities in ... to experts, facility features and amenities. , According to the Alzheimer’s ...
(Date:8/3/2020)... ... August 03, 2020 , ... Evolution Labs announced today that ... program district-wide, developed to help students navigate a range of issues related to ... districts must provide their students with preventative lessons after recent studies of social ...
(Date:8/3/2020)... ... August 03, 2020 , ... The ... the White House, Google, Amelia Arena, the Phoenix airport, the Mayo Clinic, Ramstein ... , According to Global Plasma Solutions (GPS), the manufacturers of the system, most ...
(Date:7/31/2020)... ... July 31, 2020 , ... Leaders of ... internal medicine site in Savannah, GA. Visitors included Moncef Slaoui, chief advisor, ... the federal government announced the OWS program to accelerate the development, manufacturing, and ...
Breaking Medicine News(10 mins):
(Date:8/7/2020)... ... August 07, 2020 , ... Glewed ... original and professionally produced video content, today announced a partnership with award-winning director ... lives of real cancer patients. The first reality TV series of its kind, ...
(Date:8/5/2020)... ... ... the world to us, and lately with how much we’ve been staying home, they’ve been ... bring. National Dog Day is coming up on Wednesday, August 26th, and it’s the perfect ... time to do what they love most, whether it’s going to the park for an ...
(Date:8/5/2020)... ... August 04, 2020 , ... Help.org , a trusted online ... Best Rehab Facilities in Akron, Ohio for 2020. The informational guide recognizes the top ... , According to recent studies , drug overdose is the leading cause of ...
Breaking Medicine Technology:
Cached News: