Karen L Lutfey

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BACKGROUND Health services research has documented the magnitude of health care variations. Few studies focus on provider level sources of variation in clinical decision making-for example, which primary care providers are likely to follow clinical guidelines, with which types of patient. OBJECTIVES To estimate: (1) the extent of primary care provider(More)
BACKGROUND Previous studies have documented the underdiagnosis of coronary heart disease (CHD) in women, but less is known about which alternate diagnoses take precedence and whether additional patient factors modify possible gender bias. OBJECTIVE To measure gender variation in clinical decision making, including (1) the number, types, and certainty(More)
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