National assessment of PID diagnosis, treatment and management in general practice: England and Wales
| Autor: | M. R. Vickers, P A Rogers, Judith Stephenson, Ian Simms, Angus Nicoll |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics National Health Programs Dermatology Audit Surveys and Questionnaires Epidemiology Pelvic inflammatory disease Humans Medicine Pharmacology (medical) Socioeconomic status Response rate (survey) Wales business.industry Gold standard Public Health Environmental and Occupational Health Odds ratio Confidence interval Patient Care Management Outcome and Process Assessment Health Care Infectious Diseases England Family medicine Female Family Practice business Pelvic Inflammatory Disease |
| Zdroj: | International Journal of STD & AIDS. 11:440-444 |
| ISSN: | 1758-1052 0956-4624 |
| DOI: | 10.1258/0956462001916218 |
| Popis: | A questionnaire based audit was used to evaluate the diagnosis and management of suspected pelvic inflammatory disease (PID) cases by general practitioners (GPs) in England and Wales. Responses were compared against a clinical management 'gold standard' devised by an independent group of GPs and specialists. Two hundred and ninety-seven (38%) of the 781 questionnaires were returned. Only 21 (7%) had all 'gold standard' sections correct. Diagnostic quality was significantly higher when the clinician was female compared with male (odds ratio [OR] = 2.34; 95% confidence limits [CL] = 1.19-4.63) and diagnostic quality increased with increasing socioeconomic deprivation. This is the first evaluation of the diagnosis and management of PID by GPs in England and Wales. The unusually poor response rate to a Medical Research Council General Practice Research Framework (MRC GPRF) study may reflect low disease awareness and sub-optimal management. This represents a fundamental obstacle to effective intervention and surveillance. Effective intervention will only be possible if diagnostic practice and management are improved substantially. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|