Primary care use of laboratory tests in Northern Ireland's Western Health and Social Care Trust: a cross-sectional study.
chemical pathology
pathology
primary care
quality in health care
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
21 06 2019
21 06 2019
Historique:
entrez:
24
6
2019
pubmed:
24
6
2019
medline:
18
6
2020
Statut:
epublish
Résumé
To describe the laboratory test ordering patterns by general practitioners (GPs) in Northern Ireland Western Health and Social Care Trust (WHSCT) and explore demographic and socioeconomic associations with test requesting. Cross-sectional study. WHSCT, Northern Ireland. : To identify the temporal patterns of laboratory test ordering behaviour for eight commonly requested clinical biochemistry tests/test groups in WHSCT. To analyse the extent of variations in laboratory test requests by GPs and to explore whether these variations can be accounted for by clinical outcomes or geographical, demographic and socioeconomic characteristics. The median number of adjusted test request rates over 5 consecutive years of the study period decreased by 45.7% for urine albumin/creatinine ratio (p<0.000001) and 19.4% for lipid profiles (p<0.000001) while a 60.6%, 36.6% and 29.5% increase was observed for HbA We explored potential factors of the interpractice variability in the use of laboratory tests and found that differences in requesting activity appear unrelated to either demographic and socioeconomic characteristics of GP practices or clinical outcome indicators.
Identifiants
pubmed: 31230008
pii: bmjopen-2018-026647
doi: 10.1136/bmjopen-2018-026647
pmc: PMC6596952
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e026647Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Clin Endocrinol (Oxf). 2003 Jan;58(1):20-1
pubmed: 12519407
Ann Clin Biochem. 2012 Jul;49(Pt 4):323-36
pubmed: 22734074
N Engl J Med. 1982 Mar 25;306(12):706-12
pubmed: 7038484
Indian J Clin Biochem. 2011 Apr;26(2):178-81
pubmed: 22468046
CMAJ. 1995 Nov 15;153(10):1423-31
pubmed: 7585368
J Clin Pathol. 2002 Apr;55(4):312-4
pubmed: 11919220
Br J Gen Pract. 2009 Feb;59(559):e25-31
pubmed: 19192364
J Clin Pathol. 2005 May;58(5):457-62
pubmed: 15858114
Qual Prim Care. 2013;21(3):143-8
pubmed: 23968263
J Clin Pathol. 2000 Jun;53(6):476-80
pubmed: 10911808
BMC Med Inform Decis Mak. 2017 Feb 20;17(1):20
pubmed: 28219437
Clin Chem Lab Med. 2000 May;38(5):383-9
pubmed: 10952220
BMJ Open. 2017 Nov 15;7(11):e018509
pubmed: 29146654
Qual Assur Health Care. 1992 Jun;4(2):161-6
pubmed: 1511150
Postgrad Med J. 2006 Dec;82(974):823-9
pubmed: 17148707
Ann Clin Biochem. 2011 Mar;48(Pt 2):155-8
pubmed: 21339231
Clin Chem. 2004 Feb;50(2):321-6
pubmed: 14684622
J Am Heart Assoc. 2015 Feb 27;4(3):e001708
pubmed: 25725089
Scand J Prim Health Care. 2003 Dec;21(4):219-23
pubmed: 14695072
Postgrad Med J. 1988 Apr;64(750):283-9
pubmed: 3054854
Pediatr Dev Pathol. 1999 Sep-Oct;2(5):446-53
pubmed: 10441622
JAMA. 1983 Jun 10;249(22):3076-80
pubmed: 6854832
Surgery. 2016 Jan;159(1):41-50
pubmed: 26435426
PLoS One. 2018 Feb 20;13(2):e0189599
pubmed: 29462143
Am J Med. 1986 May;80(5):865-70
pubmed: 3706374
Arch Pathol Lab Med. 2005 Sep;129(9):1141-3
pubmed: 16119987
Scand J Prim Health Care. 1988 Sep;6(3):169-73
pubmed: 3222588
N Engl J Med. 2010 Mar 4;362(9):800-11
pubmed: 20200384
BMJ Qual Saf. 2013 Oct;22 Suppl 2:ii11-ii20
pubmed: 24048914
BMJ. 1990 Dec 8;301(6764):1305-7
pubmed: 2271854
Orv Hetil. 2006 Jan 8;147(1):25-31
pubmed: 16519067
Lancet. 1993 Nov 27;342(8883):1317-22
pubmed: 7901634
Fam Pract. 1996 Jun;13(3):254-8
pubmed: 8671134