First quality score for referral letters in gastroenterology-a validation study.
BMJ Open
; 6(10): e012835, 2016 10 08.
Article
em En
| MEDLINE
| ID: mdl-27855107
ABSTRACT
OBJECTIVE:
To create and validate an objective and reliable score to assess referral quality in gastroenterology.DESIGN:
An observational multicentre study. SETTING ANDPARTICIPANTS:
25 gastroenterologists participated in selecting variables for a Thirty Point Score (TPS) for quality assessment of referrals to gastroenterology specialist healthcare for 9 common indications. From May to September 2014, 7 hospitals from the South-Eastern Norway Regional Health Authority participated in collecting and scoring 327 referrals to a gastroenterologist. MAIN OUTCOMEMEASURE:
Correlation between the TPS and a visual analogue scale (VAS) for referral quality.RESULTS:
The 327 referrals had an average TPS of 13.2 (range 1-25) and an average VAS of 4.7 (range 0.2-9.5). The reliability of the score was excellent, with an intra-rater intraclass correlation coefficient (ICC) of 0.87 and inter-rater ICC of 0.91. The overall correlation between the TPS and the VAS was moderate (r=0.42), and ranged from fair to substantial for the various indications. Mean agreement was good (ICC=0.47, 95% CI (0.34 to 0.57)), ranging from poor to good.CONCLUSIONS:
The TPS is reliable, objective and shows good agreement with the subjective VAS. The score may be a useful tool for assessing referral quality in gastroenterology, particularly important when evaluating the effect of interventions to improve referral quality.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Encaminhamento e Consulta
/
Gastroenterologia
/
Gastroenteropatias
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article