Original Article

How Do Healthcare Executives Understand and Make Decisions about Spiritual Care Provision?

Objectives: This pilot study explores how healthcare leaders understand spiritual care and how that understanding informs staffing and resource decisions. Methods: This study is based on interviews with 11 healthcare leaders, representing 18 hospitals in 9 systems, conducted between August 2019 and February 2020. Results: Leaders see the value of…

Posted in: chaplaincy 3 decision making 5 health care 5 spiritual care 3

Multidisciplinary Clinical Case Study

Navigating Clinical Ethics: Using Real Case Constellations to Guide Learners and Teachers in Medicine

Case-based learning is a staple of clinical ethics education in medicine. The sources for medical educators generally are lengthy case books or single, often rare, case analyses in the literature. Busy clinicians may not have the time or inclination to sift through case books to find suitable teaching material, and…

Posted in: decision making 5 education 20 ethics 7

Original Article

Factors Associated with Routine Recommendation of Mammography for Women Aged 40–49: Provider Characteristics and Screening Influences

Objectives: Despite the US Preventive Services Task Force recommendation against screening mammography in women younger than 50 years, rates remain high, suggesting that screening recommendations may be motivated by other factors. The objective of this study was to understand provider-reported influences on screening recommendations for women 40 to 49 years…

Posted in: breast cancer 44 cancer screening 4 decision making 5 mammography 3

Original Article

House Officer-Driven Reduction in Laboratory Utilization

Objectives: To determine whether sharing laboratory charge and personal utilization information with physicians can reduce laboratory test orders and expenditures, thereby decreasing the overutilization of laboratory testing. Methods: This was a prospective study. By querying our electronic medical records, we calculated the median laboratory charges per patient/per day (PP/PD) and…

Posted in: decision making 5 healthcare costs 2

Original Article

Absolute versus Relative Values: Effects on Family Practitioners and Psychiatrists

Background Research demonstrates that religious values clearly impact on the judgments made by physicians and their patients. One basic dichotomy—belief in ethical values that do not change (absolute values) versus belief in values that change depending on the situation (relative values)—has recently been experimentally associated with different ethical decision-making patterns….

Posted in: decision making 5 ethics 7 family practice 6 medical 2 psychiatry 7 religion and medicine 3
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