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Table 1 Initial conditions to be taken into account when making inferences about practice patterns-outcomes associations

From: Outcomes research in the development and evaluation of practice guidelines

Patient factors

Physician factors

Environmental factors

Demographics Severity of illness

Physicians' beliefs and interpretation of medical evidence

Medical insurance status (fee-for-service vs. managed care)

Heterogeneity of disease expression

Medical uncertainty

Availability of needed procedure

Patient preference

Specialist vs. generalist Physicians' skills

Proximity of medical centers with appropriate expertise

Patient attitude towards disease

Inappropriate use Nature of group

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