Referral Decision Making of General Practitioners: A Signal Detection Study.
Olga KostopoulouMartine NurekSimona CantarellaGrace OkoliFrancesca FiorentinoBrendan C DelaneyPublished in: Medical decision making : an international journal of the Society for Medical Decision Making (2019)
High referral PPV at the organizational level indicates GPs' inclination to avoid false positives, not better discrimination. Rather than bluntly mandating increases in practice PPV via more referrals, it is necessary to increase discrimination by improving the evidence base for cancer referral decisions.