[Pertinence of analysis requests in primary care]

Autor: Sanfélix Genovés J, Pereiró Berenguer I, Oterino de la Fuente D, Ml, Altarriba Cano, MARIANO MONZO, Pérez de los Cobos J
Rok vydání: 1996
Předmět:
Zdroj: Europe PubMed Central
ISSN: 0212-6567
Popis: To find the relevance of analytic tests requested by the Primary Care doctor.A descriptive crossover study. Relevance was decided by the definition of criteria through consensus techniques.Three urban Health Centres in Area 4 of the City of Valencia.All the requests for analysis made by 31 general practitioners over four days were included in the study.Relevance was evaluated by four assessors. The reliability of the method used was calculated through the simple concordance index (0.708-0.842) and the Kappa index (0.421-0.661). 355 path analyses were examined. Three of the assessors found between 60 and 63% of the requests relevant; the fourth found 48% relevant. The most frequent reason for irrelevance was that the request did not fit the requisite procedure.Relevance of requests for analytic tests could be improved. The present study is a starting-point, which allows us to deduce that an improvement in tests' relevance could be achieved with greater circulation of information on agreed diagnostic and follow-up procedures.
Databáze: OpenAIRE