Effects of routine individual feedback over nine years on general practitioners' requests for tests
Feedback to general practitioners about the diagnostic tests they request reduces the number of requests. 1 This effect disappears, however, soon after feedback is stopped. 2 Most studies have been short, so data on the long term effects of feedback are lacking. 3 The Diagnostic Coordinating Centre...
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| Veröffentlicht in: | BMJ 1996-02, Vol.312 (7029), p.490-490 |
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| creator | Winkens, Ron A G Pop, Peter Grol, Richard P T M Bugter-Maessen, Annemiek M A Kester, Arnold D M Beusmans, George H M I Knottnerus, J Andre |
| description | Feedback to general practitioners about the diagnostic tests they request reduces the number of requests. 1 This effect disappears, however, soon after feedback is stopped. 2 Most studies have been short, so data on the long term effects of feedback are lacking. 3 The Diagnostic Coordinating Centre Maastricht has provided feedback continuously since 1985, resulting in a more rational use of tests and fewer requests. 4 5 We report the effects of nine years of feedback. For these common tests in our region we also compared the trend for tests that were advised against but had a recommended alternative (measurement of urea, thyroxine, free thyroxine, and triiodothyronine concentrations; Rose-Waaler and latex fixation tests) with that for tests that were advised against but had no recommended alternative (haemoglobin concentration, packed cell volume, differential count, erythrocyte sedimentation rate, leucocyte count, erythrocyte count, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase). |
| doi_str_mv | 10.1136/bmj.312.7029.490 |
| format | Article |
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For these common tests in our region we also compared the trend for tests that were advised against but had a recommended alternative (measurement of urea, thyroxine, free thyroxine, and triiodothyronine concentrations; Rose-Waaler and latex fixation tests) with that for tests that were advised against but had no recommended alternative (haemoglobin concentration, packed cell volume, differential count, erythrocyte sedimentation rate, leucocyte count, erythrocyte count, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase).</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.312.7029.490</identifier><identifier>PMID: 8597685</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>London: British Medical Journal Publishing Group</publisher><subject>Biological and medical sciences ; Choice Behavior ; Clinical Laboratory Techniques - statistics & numerical data ; Cost control ; Diagnostic tests ; Family Practice ; Feedback ; General practice ; Humans ; Information feedback ; Medical sciences ; Miscellaneous ; Netherlands ; Physicians ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Teaching. Deontology. Ethics. Legislation ; Tests ; Trends</subject><ispartof>BMJ, 1996-02, Vol.312 (7029), p.490-490</ispartof><rights>1996 BMJ Publishing Group Ltd.</rights><rights>Copyright 1996 British Medical Journal</rights><rights>1996 INIST-CNRS</rights><rights>Copyright: 1996 (c) 1996 BMJ Publishing Group Ltd.</rights><rights>Copyright BMJ Publishing Group Feb 24, 1996</rights><rights>Copyright British Medical Association Feb 24, 1996</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b598t-4aeb92bf878ae72eda9c433d7c27edac8ceff8738014e256b30c9dd8996af5243</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/29730757$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/29730757$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,776,780,799,881,27901,27902,30976,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2991335$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8597685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Winkens, Ron A G</creatorcontrib><creatorcontrib>Pop, Peter</creatorcontrib><creatorcontrib>Grol, Richard P T M</creatorcontrib><creatorcontrib>Bugter-Maessen, Annemiek M A</creatorcontrib><creatorcontrib>Kester, Arnold D M</creatorcontrib><creatorcontrib>Beusmans, George H M I</creatorcontrib><creatorcontrib>Knottnerus, J Andre</creatorcontrib><title>Effects of routine individual feedback over nine years on general practitioners' requests for tests</title><title>BMJ</title><addtitle>BMJ</addtitle><description>Feedback to general practitioners about the diagnostic tests they request reduces the number of requests. 1 This effect disappears, however, soon after feedback is stopped. 2 Most studies have been short, so data on the long term effects of feedback are lacking. 3 The Diagnostic Coordinating Centre Maastricht has provided feedback continuously since 1985, resulting in a more rational use of tests and fewer requests. 4 5 We report the effects of nine years of feedback. For these common tests in our region we also compared the trend for tests that were advised against but had a recommended alternative (measurement of urea, thyroxine, free thyroxine, and triiodothyronine concentrations; Rose-Waaler and latex fixation tests) with that for tests that were advised against but had no recommended alternative (haemoglobin concentration, packed cell volume, differential count, erythrocyte sedimentation rate, leucocyte count, erythrocyte count, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase).</description><subject>Biological and medical sciences</subject><subject>Choice Behavior</subject><subject>Clinical Laboratory Techniques - statistics & numerical data</subject><subject>Cost control</subject><subject>Diagnostic tests</subject><subject>Family Practice</subject><subject>Feedback</subject><subject>General practice</subject><subject>Humans</subject><subject>Information feedback</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Netherlands</subject><subject>Physicians</subject><subject>Public health. 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Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Teaching. Deontology. Ethics. 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For these common tests in our region we also compared the trend for tests that were advised against but had a recommended alternative (measurement of urea, thyroxine, free thyroxine, and triiodothyronine concentrations; Rose-Waaler and latex fixation tests) with that for tests that were advised against but had no recommended alternative (haemoglobin concentration, packed cell volume, differential count, erythrocyte sedimentation rate, leucocyte count, erythrocyte count, lactate dehydrogenase, aspartate aminotransferase, alanine aminotransferase).</abstract><cop>London</cop><pub>British Medical Journal Publishing Group</pub><pmid>8597685</pmid><doi>10.1136/bmj.312.7029.490</doi><tpages>1</tpages><edition>International edition</edition><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0959-8138 |
| ispartof | BMJ, 1996-02, Vol.312 (7029), p.490-490 |
| issn | 0959-8138 0959-8146 1468-5833 1756-1833 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; MEDLINE; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Choice Behavior Clinical Laboratory Techniques - statistics & numerical data Cost control Diagnostic tests Family Practice Feedback General practice Humans Information feedback Medical sciences Miscellaneous Netherlands Physicians Public health. Hygiene Public health. Hygiene-occupational medicine Teaching. Deontology. Ethics. Legislation Tests Trends |
| title | Effects of routine individual feedback over nine years on general practitioners' requests for tests |
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