Effect of feedback on test ordering behaviour of general practitioners.
BMJ
; 304(6834): 1093-6, 1992 Apr 25.
Article
em En
| MEDLINE
| ID: mdl-1586825
ABSTRACT
OBJECTIVE:
To assess the effect of feedback on the test ordering behaviour of general practitioners.DESIGN:
Comparison of requests at two diagnostic centres, and internal comparison between tests which were discussed in feedback and tests which were not.SETTING:
A diagnostic centre in Maastricht giving feedback and another elsewhere in the Netherlands (laboratory A) not giving feedback.SUBJECTS:
All 85 general practitioners in the region of Maastricht, and all general practitioners in the region of laboratory A. MAIN OUTCOMEMEASURES:
Numbers of tests requested by general practitioners.RESULTS:
Requests at the Maastricht diagnostic centre decreased soon after the onset of feedback whereas there was a persistent increase in requests at laboratory A. Tests that were discussed showed the strongest decrease (maximum 40%), though tests that were not discussed decreased as well (maximum 27%).CONCLUSIONS:
Feedback on diagnostic requests may exert a strong influence on request behaviour. Four years after the onset of feedback the effects were still noticeable.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Técnicas de Laboratório Clínico
/
Tomada de Decisões
/
Retroalimentação
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
BMJ
Assunto da revista:
MEDICINA
Ano de publicação:
1992
Tipo de documento:
Article
País de afiliação:
Holanda