GPs' perspectives on diagnostic tests for children: a qualitative interview study.
Br J Gen Pract
; 74(743): e393-e400, 2024 Jun.
Article
in En
| MEDLINE
| ID: mdl-38499294
ABSTRACT
BACKGROUND:
Most healthcare contacts for children in the UK occur in general practice. Diagnostic tests can be beneficial in narrowing differential diagnoses; however, there is substantial variation in the use of tests for children in general practice. Unwarranted variation in testing can lead to variation in quality of care and may exacerbate health inequities. To our knowledge, no previous study has tried to understand why variation in testing exists for children in general practice.AIM:
To explore GPs' perspectives on using diagnostic tests for children in primary care and the underlying drivers of variation. DESIGN ANDSETTING:
Qualitative study in which semi-structured interviews were conducted with GPs and trainee GPs in England.METHOD:
Interviews were conducted with 18 GPs and two trainee GPs between April and June 2023. The interviews were transcribed and analysed using reflexive thematic analysis.RESULTS:
GPs reflected that their approach to testing in children differed from their approach to testing in adults their threshold to test was higher, and their threshold to refer to specialists was lower. GPs' perceptions of test utility varied, including objective testing for asthma. Perceived drivers of variation in testing were intrinsic (clinician-specific) factors relating to their risk tolerance and experience; and extrinsic factors, including disease prevalence, parental concern and expectations of health care, workforce changes leading to fragmentation in care, time constraints, and differences in guidelines.CONCLUSION:
The findings of this study identify actionable issues for clinicians, researchers, and policymakers to address gaps in education, evidence, and guidance, reduce unwarranted differences in test use, and improve the quality of health care delivered to children in general practice.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Practice Patterns, Physicians'
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Attitude of Health Personnel
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Qualitative Research
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General Practitioners
Limits:
Adult
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Child
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Female
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Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
Br J Gen Pract
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: