Harvard: Clinical decision-making is a complex process, driven by multiple
factors, including social and psychological dynamics, peer pressure and
even exposure to drug advertising. Now research from Harvard Medical School shows that when it comes to a
physician’s choice of insomnia medication, habit may trump all else. The results suggest that many clinicians choose insomnia drugs
somewhat reflexively, based on routine, rather than by taking into
account a patient’s symptoms and medical history. Indeed, the analysis
showed that a physician’s past prescribing pattern, rather than patient
characteristics, was the more potent predictor of what insomnia
medication a patient might get. Findings of the research, based on analysis of 1,105 patients’
medical records and the accompanying clinical notes, appear Feb. 9 in
Scientific Reports.