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Among Western countries, it has been found that physicians tend to manage their own illnesses and tend not have their own independent family physicians.
Evidence has been found that physicians from university hospitals are the preferred choice when hiring to chief physician positions, but not for when hiring to senior physician positions.
It has been found that physicians opt not to invest time in system selection and procurement [ 10, 11, 16, 19] as they think they should spend their time and effort on patients, rather than on selecting and contracting an EMR system, which is not regarded as part of their daily working practice.
In reality, it has been found that physicians who rated themselves higher than others are more likely to react negatively to the feedback and not change their behaviour [ 13] The influence of negative feedback, or feedback that was not consistent with their own self perceptions was also highlighted by six studies in this current review [ 21, 22, 26, 30, 31, 33].
For example, it has been found that physicians are more likely to access radiology reports than any other health professional [ 29, 30], and that all users engage with HIE systems in a minimal fashion by accessing only the select patient screen and the recent encounters summary screen [ 31].
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For example, in a qualitative study [ 13], it was found that physicians described assessment of functional ability as being "in the back of our minds," and the authors called this phenomenon "tacit assessment".
It was found that physicians in Korean EDs tend to judge the risk of patients' drinking against their own consumption [ 53], similar to previous findings on GPs in the United Kingdom [ 60].
In the above-mentioned US study, it was found that physicians appeared to know the indications for the use of vaccination, but failed to translate this knowledge into clinical practice.
Strong evidence was found that physicians' conflicting opinions about the patient's prognosis and their focus on narrow physiological objectives, without recognition that the condition of the patient has become terminal, are barriers to timely end-of-life discussions [ 15- 17].
Medium-strength evidence was found that physicians prefer their own ideas of what is in the best interest of the patient, focusing instead on clinical and technical parameters to decide on withholding or withdrawing therapy, and do not respect the wishes of the patient or the patient's family to stop therapy, even when there is a living will [ 27, 33, 34, 40].
If a mutation linked to the patient's disease is found, that information is relayed to the physician to inform the diagnosis, and, in some cases, guide treatment.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com