Larger differences in utilization of rarely requested tests in primary care in Spain
| Autor: | MARIA SALINAS, ANTONIO BUÑO SOTO, Emilio Flores, Maite Lopez-Garrigos, MARIA ISABEL LLOVET LOMBARTE, Marcos López-Hoyos |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
National Health Programs Urinalysis Anti-nuclear antibody Clinical Biochemistry Population laboratory proficiency testing Primary care Immunologic Tests primary care chemistry.chemical_compound Catchment Area Health Internal medicine preanalytical phase Humans clinical laboratory services Medicine Rheumatoid factor Practice Patterns Physicians' test requesting education Creatinine education.field_of_study Hematologic Tests Primary Health Care medicine.diagnostic_test Diagnostic Tests Routine business.industry Biochemistry (medical) Surgery chemistry Quartile Spain Laboratory Proficiency Testing business Research Article |
| Zdroj: | Biochemia Medica |
| ISSN: | 1846-7482 |
| DOI: | 10.11613/bm.2015.041 |
| Popis: | Introduction The study was performed to compare and analyze the inter-departmental variability in the request of rarely requested laboratory tests in primary care, as opposed to other more common and highly requested tests. Materials and methods Data from production statistics for the year 2012 from 76 Spanish laboratories was used. The number of antinuclear antibodies, antistreptolysin O, creatinine, cyclic citrullinated peptide antibodies, deaminated peptide gliadine IgA antibodies, glucose, protein electrophoresis, rheumatoid factor, transglutaminase IgA antibodies, urinalysis and uric acid tests requested was collected. The number of test requests per 1000 inhabitants was calculated. In order to explore the variability the coefficient of quartile dispersion was calculated. Results The smallest variation was seen for creatinine, glucose, uric acid and urinalysis; the most requested tests. The tests that were least requested showed the greatest variability. Conclusion Our study shows through a very simplified approach, in a population close to twenty million inhabitants, how in primary care, the variability in the request of laboratory tests is inversely proportional to the request rate. |
| Databáze: | OpenAIRE |
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