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Reasons for deviation are unclear but may be due to physicians choosing to pursue a 'single definitive procedure'.
The greater use of NIV in very old patients than in younger found in our study could be due to physicians choosing a less invasive technique.
This may be due to physicians routinely prescribing proton pump inhibitors to patients once they enter hospital.
The over prescription of X-rays might also be due to physicians overestimating their diagnostic value or, most likely, to their desire to meet the patient's expectations.
Shorter intervals may be due to physicians requesting a return before the initial treatment effect has waned to ensure long-term efficacy.
This may be due to physicians selectively using α antagonists only among men judged to have a low risk of fall or fracture.
Similar(51)
Thus, treatment differences in the EMR and claims databases could be due to physician specialty or clinic and practice type.
This could be due to physician preference for meropenem in view of relatively lower incidence of seizures with meropenem as compared to imipenem [ 31- 33].
Although greater severity estimates for patients at the public hospital site could theoretically be due to physician attitudes or unmeasured patient factors, this is confounded by differences in geographic location as well as substantially different clinical workloads of physicians at the two sites.
Whether this is due to physicians being unaware of the evidence, unconvinced by the evidence, or clinical inertia is unclear.
In the objective review of return visit cases, we found four major areas of insufficiency: history taking (55), observation of symptoms (47), laboratory/radiological examination and observation of treatment response (32) and all were due to physicians' factors (table 4).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com