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Informal advice- and information-seeking between physicians.

Abstract

Presently little is known or understood regarding the informal advice- and information-seeking behavior which occurs between physicians. In this paper the authors present an assessment of the quantity, quality, and patterns of direct peer communication in a county's physician population. All physicians within a country were mailed a sociometric questionnaire comprised of two questions. The data from the questionnaire revealed that colleague interaction occurs on a regular and frequent basis and is of considerable value to the physician seeking advice and information. An analysis of the communication patterns distinguished six of the country's physicians as opinion leaders. These findings illustrate the strength of informal communication among physicians and their opinion leaders. This phenomenon may be a key element in facilitating the physician's translation of medical advances into improved patient care with the least delay possible.

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BibTeXRIS

A D Weinberg, L Ullian, W D Richards, P Cooper. 1981. Informal advice- and information-seeking between physicians.. https://doi.org/10.1097/00001888-198103000-00003

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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