Irish general practitioner (GP) perspectives on impact of direct access radiology on patient care in the community : results from a mixed-methods study
© 2023. The Author(s)..
BACKGROUND: Since winter 2020/21, general practitioners (GPs) in the Republic of Ireland (RoI) have been granted access to diagnostic imaging studies on a new publicly funded pathway, expediting access to services previously obtained via hospital-based doctors.
AIMS: Outline GP perspectives on imaging studies obtained via the new "GP Access to Community Diagnostics" initiative.
METHODS: A mixed-methods design was employed. Referrals over the first six months of 2019 and 2021 were collated by a private imaging provider, and a randomly selected subset of 2021 studies (maximum 30 referrals per GP) was returned to participating GPs to provide detail on the impact on each patient's care. In-depth qualitative interviews were also conducted with participating GPs.
RESULTS: Eleven GPs supplied detailed information on 81 studies organized through the new initiative. GPs reported that the initiative had led to a large proportion of cases being managed solely in general practice, with an 81% reduction in referrals to acute hospital settings and a 58% reduction in referrals to secondary care clinics. GPs felt imaging studies improved patient care in 86% of cases and increased GP workload in 58% of cases. GP qualitative interviews revealed four key themes: improved patient care, increased GP workload, reduction in hospital referrals, and opinions on ongoing management of such initiatives, including guidelines.
CONCLUSIONS: GPs felt enhancing access to diagnostics improved patient care by expediting diagnosis, decision-making, and treatment and by reducing hospital referrals. GPs were generally positive about the initiative and made some suggestions on future management of the initiative.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:193 |
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| Enthalten in: |
Irish journal of medical science - 193(2024), 1 vom: 27. Jan., Seite 425-434 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
O'Callaghan, Michael Edmund [VerfasserIn] |
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| Links: |
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| Themen: |
Diagnostic imaging |
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| Anmerkungen: |
Date Completed 25.01.2024 Date Revised 27.01.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s11845-023-03419-1 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM358556104 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a BACKGROUND: Since winter 2020/21, general practitioners (GPs) in the Republic of Ireland (RoI) have been granted access to diagnostic imaging studies on a new publicly funded pathway, expediting access to services previously obtained via hospital-based doctors | ||
| 520 | |a AIMS: Outline GP perspectives on imaging studies obtained via the new "GP Access to Community Diagnostics" initiative | ||
| 520 | |a METHODS: A mixed-methods design was employed. Referrals over the first six months of 2019 and 2021 were collated by a private imaging provider, and a randomly selected subset of 2021 studies (maximum 30 referrals per GP) was returned to participating GPs to provide detail on the impact on each patient's care. In-depth qualitative interviews were also conducted with participating GPs | ||
| 520 | |a RESULTS: Eleven GPs supplied detailed information on 81 studies organized through the new initiative. GPs reported that the initiative had led to a large proportion of cases being managed solely in general practice, with an 81% reduction in referrals to acute hospital settings and a 58% reduction in referrals to secondary care clinics. GPs felt imaging studies improved patient care in 86% of cases and increased GP workload in 58% of cases. GP qualitative interviews revealed four key themes: improved patient care, increased GP workload, reduction in hospital referrals, and opinions on ongoing management of such initiatives, including guidelines | ||
| 520 | |a CONCLUSIONS: GPs felt enhancing access to diagnostics improved patient care by expediting diagnosis, decision-making, and treatment and by reducing hospital referrals. GPs were generally positive about the initiative and made some suggestions on future management of the initiative | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Diagnostic imaging | |
| 650 | 4 | |a General practice | |
| 650 | 4 | |a Hospital avoidance | |
| 650 | 4 | |a Primary care | |
| 650 | 4 | |a Radiology | |
| 650 | 4 | |a Referral | |
| 700 | 1 | |a Fawsitt, Ronan |e verfasserin |4 aut | |
| 700 | 1 | |a Gao, Jiaran |e verfasserin |4 aut | |
| 700 | 1 | |a Broughan, John |e verfasserin |4 aut | |
| 700 | 1 | |a McCombe, Geoff |e verfasserin |4 aut | |
| 700 | 1 | |a Phelan, Amy |e verfasserin |4 aut | |
| 700 | 1 | |a Quinlan, Diarmuid |e verfasserin |4 aut | |
| 700 | 1 | |a Collins, Claire |e verfasserin |4 aut | |
| 700 | 1 | |a Stanley, Fintan |e verfasserin |4 aut | |
| 700 | 1 | |a Cullen, Walter |e verfasserin |4 aut | |
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