Efficacité thérapeutique de “l’effet médecin” en soins primaires

Moreau, Alain; Boussageon, Rémy; Girier, Pierre; Figon, Sophie

doi:10.1016/s0755-4982(06)74729-7

Cited by 15 publications

(8 citation statements)

References 27 publications

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“…It is therefore also essential to remind GPs of their ability to reassure parents: medication is not the main issue of these frequent consultations. These findings provide further evidence for the “doctor effect”, defined as a cognitive-emotional element of the consultation [7]. The “doctor effect” is, indeed, an integral element of the management of fever.…”

Section: Discussionmentioning

confidence: 56%

“…Thus, the intended sample size was 200 children, based on published data from randomized controlled trials concerning the “doctor effect” [7, 15] and the definition of parental reassurance as a decrease in parental concern by at least 50% following the consultation.…”

Section: Methodsmentioning

confidence: 99%

“…Moreau et al showed that simply consulting a doctor has a beneficial effect on adult patients [7]. This is known as the “doctor effect”.…”

Section: Introductionmentioning

confidence: 99%

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Parental reassurance concerning a feverish child: determinant factors in rural general practice

et al. 2018

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BackgroundAcute fever is the most common pediatric condition encountered in general practice and a source of parental concern that can result in inappropriate behavior. The main objective of this study was to describe and quantify parental reassurance concerning their feverish child in the context of visits to rural general practitioners (GPs).MethodThe study included the parents of 202 feverish children, aged from 3 months to 6 years, consulting 13 representative rural GPs. Questionnaires were administered before and after the consultation. Uni- and multivariate analysis were performed to study variations of the levels of concern and associated factors.ResultsThe duration of fever was 1.3 days (± 1.1). The mean score for parental concern was 4.8 out of 10 (± 2.2) before, and 2.4 (± 1.9) after the consultation (p < 0.0001). The concern correlated with the timing of the appointment relative to the usual wait (p = 0.0002), and a lack of knowledge about fever complications (p = 0.013).ConclusionFacilitating access to consultations with a GP within the expected timeframe reduces parental concern. Increasing parental education about fever is also necessary.Electronic supplementary materialThe online version of this article (10.1186/s12875-017-0686-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 56%

Section: Methodsmentioning

confidence: 99%

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Parental reassurance concerning a feverish child: determinant factors in rural general practice

et al. 2018

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“…32 This 'doctor effect' has been reinforced in the primary care setting whereby, typically, human skills of empathy and reassurance are shown to improve patient outlook and promote change in behaviour. 33 However, if patients cannot discern between machines and humans, can this effect still be achieved?…”

Section: Humanity and Humilitymentioning

confidence: 99%

The automation of doctors and machines: A classification for AI in medicine (ADAM framework)

Kazzazi¹

2021

Future Healthcare Journal

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The advances in artificial intelligence (AI) provide an opportunity to expand the frontier of medicine to improve diagnosis, efficiency and management. By extension of being able to perform any task that a human could, a machine that meets the requirements of artificial general intelligence ('strong' AI; AGI) possesses the basic necessities to perform as, or at least qualify to become, a doctor. In this emerging field, this article explores the distinctions between doctors and AGI, and the prerequisites for AGI performing as clinicians. In doing so, it necessitates the requirement for a classification of medical AI and prepares for the development of AGI. With its imminent arrival, it is beneficial to create a framework from which leading institutions can define specific criteria for AGI.

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“…The influence of doctor-patient communication has been investigated as a “doctor effect” on patients’ health outcomes, 1 , 11 , 12 including symptoms, 13 , 14 readmission rates in the emergency department, 13 , 15 health-related quality of life, 16 and improved diabetes control. 17 …”

Section: Introductionmentioning

confidence: 99%

The Doctors’ Effect on Patients’ Physical Health Outcomes Beyond the Intervention: A Methodological Review

Schnelle¹,

Jones²

2022

CLEP

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Background Previous research suggests that when a treatment is delivered, patients’ outcomes may vary systematically by medical practitioner. Objective To conduct a methodological review of studies reporting on the effect of doctors on patients’ physical health outcomes and to provide recommendations on how this effect could be measured and reported in a consistent and appropriate way. Methods The data source was 79 included studies and randomized controlled trials from a systematic review of doctors’ effects on patients’ physical health. We qualitatively assessed the studies and summarized how the doctors’ effect was measured and reported. Results The doctors’ effects on patients’ physical health outcomes were reported as fixed effects, identifying high and low outliers, or random effects, which estimate the variation in patient health outcomes due to the doctor after accounting for all available variables via the intra-class correlation coefficient. Multivariable multilevel regression is commonly used to adjust for patient risk, doctor experience and other demographics, and also to account for the clustering effect of hospitals in estimating both fixed and random effects. Conclusion This methodological review identified inconsistencies in how the doctor’s effect on patients’ physical health outcomes is measured and reported. For grading doctors from worst to best performances and estimating random effects, specific recommendations are given along with the specific data points to report.

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Efficacité thérapeutique de “l’effet médecin” en soins primaires

Abstract: Qualitative and quantitative research, including RCTs, are necessary; they should be designed to deal with the heterogenous situations and specific characteristics of general practice.

Cited by 15 publications

References 27 publications

Parental reassurance concerning a feverish child: determinant factors in rural general practice

Parental reassurance concerning a feverish child: determinant factors in rural general practice

The automation of doctors and machines: A classification for AI in medicine (ADAM framework)

The Doctors’ Effect on Patients’ Physical Health Outcomes Beyond the Intervention: A Methodological Review

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