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Use of deceptive tactics in physician practices: are there differences between international and US medical graduates?

Publication ,  Journal Article
Lee, S-YD; Dow, WH; Wang, V; VanGeest, JB
Published in: Health Policy
March 2004

Concerns have been raised about the medical practices of international medical graduates (IMGs) in the United States. This study examined the differences between IMGs and US-trained medical graduates (USMGs) in their attitude toward and utilization of deception in medical practices. A random sample of physicians practicing in the US was surveyed by mail in 1998. The dependent variables of interest included 11 attitudinal and behavioral indicators of deceptive tactics in medical practice. IMGs and USMGs displayed limited difference in their attitudes but some differences in their self-reported use of deceptive tactics in medical practice. IMGs were less likely than USMGs to change the patient's official diagnosis (OR, 0.557; 95% CI, 0.344-0.902) or to withhold a useful service because of utilization rules (OR, 0.612; 95% CI, 0.382-0.979). The hypothesis that IMGs have less appropriate professional standards than USMGs is not supported by this study. Alternative hypotheses, such as IMG familiarity with US health care and legal systems, warrant investigation.

Duke Scholars

Published In

Health Policy

DOI

ISSN

0168-8510

Publication Date

March 2004

Volume

67

Issue

3

Start / End Page

257 / 264

Location

Ireland

Related Subject Headings

  • United States
  • Random Allocation
  • Practice Management, Medical
  • Physicians
  • Male
  • Insurance Claim Reporting
  • Humans
  • Health Services Research
  • Health Policy & Services
  • Foreign Medical Graduates
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lee, S.-Y., Dow, W. H., Wang, V., & VanGeest, J. B. (2004). Use of deceptive tactics in physician practices: are there differences between international and US medical graduates? Health Policy, 67(3), 257–264. https://doi.org/10.1016/S0168-8510(03)00124-6
Lee, Shoou-Yih D., William H. Dow, Virginia Wang, and Jonathan B. VanGeest. “Use of deceptive tactics in physician practices: are there differences between international and US medical graduates?Health Policy 67, no. 3 (March 2004): 257–64. https://doi.org/10.1016/S0168-8510(03)00124-6.
Lee S-YD, Dow WH, Wang V, VanGeest JB. Use of deceptive tactics in physician practices: are there differences between international and US medical graduates? Health Policy. 2004 Mar;67(3):257–64.
Lee, Shoou-Yih D., et al. “Use of deceptive tactics in physician practices: are there differences between international and US medical graduates?Health Policy, vol. 67, no. 3, Mar. 2004, pp. 257–64. Pubmed, doi:10.1016/S0168-8510(03)00124-6.
Lee S-YD, Dow WH, Wang V, VanGeest JB. Use of deceptive tactics in physician practices: are there differences between international and US medical graduates? Health Policy. 2004 Mar;67(3):257–264.
Journal cover image

Published In

Health Policy

DOI

ISSN

0168-8510

Publication Date

March 2004

Volume

67

Issue

3

Start / End Page

257 / 264

Location

Ireland

Related Subject Headings

  • United States
  • Random Allocation
  • Practice Management, Medical
  • Physicians
  • Male
  • Insurance Claim Reporting
  • Humans
  • Health Services Research
  • Health Policy & Services
  • Foreign Medical Graduates