Shared care for hearing complaints: guideline effects on patient flow.
J Eval Clin Pract
; 17(2): 209-14, 2011 Apr.
Article
en En
| MEDLINE
| ID: mdl-20846280
ABSTRACT
RATIONALE, AIMS AND OBJECTIVES:
A national guideline was proposed to enable shared care in hearing complaints and therefore to change patient flows. In this study the effect of this guideline is evaluated.METHODS:
From a total of 3500 patients with hearing complaints, consulting the Ear Nose and Throat Department of a large non-university hospital in the Netherlands in 2002, a random sample of 1000 patients was selected. Patient flow was simulated according to guideline criteria with as main outcomemeasures:
the effect of the guideline on patient flow.RESULTS:
Simulation of the consensus guideline did not really alter patient flow, with 89% to 97% of the patients still being referred to the Ear Nose and Throat specialist or Audiological Centre. Age, ear operations in the past and asymmetric hearing loss are the most important factors determining whether a person is labelled as a patient in need of medical care.CONCLUSION:
The present study emphasizes the importance of designing evidence-based guidelines for shared care.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Transferencia de Pacientes
/
Atención Dirigida al Paciente
/
Adhesión a Directriz
/
Personas con Deficiencia Auditiva
Tipo de estudio:
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Eval Clin Pract
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
Año:
2011
Tipo del documento:
Article
País de afiliación:
Países Bajos