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Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries

BACKGROUND: Observational studies indicate that religious values of physicians influence clinical practice. The aim of this study was to test prior hypotheses of prevalence of this influence using a meta-analysis design. METHODS: Based on a systematic literature search we performed individual partic...

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Autores principales: Kørup, Alex Kappel, Søndergaard, Jens, Lucchetti, Giancarlo, Ramakrishnan, Parameshwaran, Baumann, Klaus, Lee, Eunmi, Frick, Eckhard, Büssing, Arndt, Alyousefi, Nada A., Karimah, Azimatul, Schouten, Esther, Wermuth, Inga, Hvidt, Niels Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756708/
https://www.ncbi.nlm.nih.gov/pubmed/31568003
http://dx.doi.org/10.1097/MD.0000000000017265
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author Kørup, Alex Kappel
Søndergaard, Jens
Lucchetti, Giancarlo
Ramakrishnan, Parameshwaran
Baumann, Klaus
Lee, Eunmi
Frick, Eckhard
Büssing, Arndt
Alyousefi, Nada A.
Karimah, Azimatul
Schouten, Esther
Wermuth, Inga
Hvidt, Niels Christian
author_facet Kørup, Alex Kappel
Søndergaard, Jens
Lucchetti, Giancarlo
Ramakrishnan, Parameshwaran
Baumann, Klaus
Lee, Eunmi
Frick, Eckhard
Büssing, Arndt
Alyousefi, Nada A.
Karimah, Azimatul
Schouten, Esther
Wermuth, Inga
Hvidt, Niels Christian
author_sort Kørup, Alex Kappel
collection PubMed
description BACKGROUND: Observational studies indicate that religious values of physicians influence clinical practice. The aim of this study was to test prior hypotheses of prevalence of this influence using a meta-analysis design. METHODS: Based on a systematic literature search we performed individual participant data meta-analysis (IPDMA) on data based on 2 preselected questionnaires. Ten samples from 7 countries remained after exclusion (n = 3342). IPDMA was performed using a random-effects model with 2 summary measures: the mean value of the scale “Religiosity of Health Professionals”; and a dichotomized value of the question “My religious beliefs influence my practice of medicine.” Also, a sensitivity analysis was performed using a mixed-models design controlling for confounders. RESULTS: Mean score of religiosity (95% confidence interval [CI]) was significantly lower in the European subgroup (8.46 [6.96–9.96]) compared with the Asian samples India (10.46 [9.82–10.21]) and Indonesia (12.52 [12.19–12.84]), whereas Brazil (9.76 [9.54–9.99]) and USA (10.02 [9.82–10.21]) were placed in between. The proportion of the European physicians who agreed to the statement “My religious beliefs influence my practice of medicine” (95% CI) was 42% (26%–59%) compared with Brazil (36% [29%–43%]), USA (57% [54%–60%]), India (58% [52%–63%]), and Indonesia (91% [84%–95%]). CONCLUSIONS: Although large cross-cultural variations existed in the samples, 50% of physicians reported to be influenced by their religious beliefs. Religiosity and influence of religious beliefs were most pronounced in India, Indonesia, and a European faith-based hospital. Education regimes of current and future physicians should encompass this influence, and help physicians learn how their personal values influence their clinical practice.
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spelling pubmed-67567082019-10-07 Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries Kørup, Alex Kappel Søndergaard, Jens Lucchetti, Giancarlo Ramakrishnan, Parameshwaran Baumann, Klaus Lee, Eunmi Frick, Eckhard Büssing, Arndt Alyousefi, Nada A. Karimah, Azimatul Schouten, Esther Wermuth, Inga Hvidt, Niels Christian Medicine (Baltimore) 5400 BACKGROUND: Observational studies indicate that religious values of physicians influence clinical practice. The aim of this study was to test prior hypotheses of prevalence of this influence using a meta-analysis design. METHODS: Based on a systematic literature search we performed individual participant data meta-analysis (IPDMA) on data based on 2 preselected questionnaires. Ten samples from 7 countries remained after exclusion (n = 3342). IPDMA was performed using a random-effects model with 2 summary measures: the mean value of the scale “Religiosity of Health Professionals”; and a dichotomized value of the question “My religious beliefs influence my practice of medicine.” Also, a sensitivity analysis was performed using a mixed-models design controlling for confounders. RESULTS: Mean score of religiosity (95% confidence interval [CI]) was significantly lower in the European subgroup (8.46 [6.96–9.96]) compared with the Asian samples India (10.46 [9.82–10.21]) and Indonesia (12.52 [12.19–12.84]), whereas Brazil (9.76 [9.54–9.99]) and USA (10.02 [9.82–10.21]) were placed in between. The proportion of the European physicians who agreed to the statement “My religious beliefs influence my practice of medicine” (95% CI) was 42% (26%–59%) compared with Brazil (36% [29%–43%]), USA (57% [54%–60%]), India (58% [52%–63%]), and Indonesia (91% [84%–95%]). CONCLUSIONS: Although large cross-cultural variations existed in the samples, 50% of physicians reported to be influenced by their religious beliefs. Religiosity and influence of religious beliefs were most pronounced in India, Indonesia, and a European faith-based hospital. Education regimes of current and future physicians should encompass this influence, and help physicians learn how their personal values influence their clinical practice. Wolters Kluwer Health 2019-09-20 /pmc/articles/PMC6756708/ /pubmed/31568003 http://dx.doi.org/10.1097/MD.0000000000017265 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle 5400
Kørup, Alex Kappel
Søndergaard, Jens
Lucchetti, Giancarlo
Ramakrishnan, Parameshwaran
Baumann, Klaus
Lee, Eunmi
Frick, Eckhard
Büssing, Arndt
Alyousefi, Nada A.
Karimah, Azimatul
Schouten, Esther
Wermuth, Inga
Hvidt, Niels Christian
Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries
title Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries
title_full Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries
title_fullStr Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries
title_full_unstemmed Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries
title_short Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries
title_sort religious values of physicians affect their clinical practice: a meta-analysis of individual participant data from 7 countries
topic 5400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756708/
https://www.ncbi.nlm.nih.gov/pubmed/31568003
http://dx.doi.org/10.1097/MD.0000000000017265
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