Helena Britt; Graeme C. Miller; Lisa Valenti; Joan Henderson; Julie Gordon; Allan J. Pollack; Clare Bayram; Carmen Zhang Sydney University Press (2014) Pehmeäkantinen kirja
Helena Britt; Graeme C. Miller; Clare Bayram; Joan Henderson; Lisa Valenti; Christopher Harrison; Ying Pan; Jani Charles Sydney University Press (2016) Pehmeäkantinen kirja
Helena Britt; Graeme C. Miller; Janice Charles; Joan Henderson; Lisa Valenti; Christopher Harrison; Carmen Zhang; Chamber Sydney University Press (2012) Pehmeäkantinen kirja
This book reports changes in GP ordering of imaging tests in Australia from 2002-3 to 2011-2, and evaluates alignment between guidelines and recent GP test ordering for selected problems. Over the decade, 9,802 GPs participated in BEACH, providing details of 980,200 GP-patient encounters. The likelihood of GPs ordering imaging in the management of a problem increased over time. In recent practice, at least one imaging test was ordered at 9 per cent of encounters, at a rate of 10 imaging tests per 100 encounters. Diagnostic radiology was the most commonly ordered type of imaging test, but the order rate decreased over time, with a shift toward orders for ultrasound, CT and MRI, which all significantly increased. Eight selected problems accounted for one-third of all imaging orders. Imaging ordering behaviour suggests broad compliance with published guidelines in the management of osteoarthritis, shoulder problems, bursitis/tendonitis/synovitis, abdominal pain and other musculoskeletal injuries. Current ordering patterns for knee problems and some sprains/strains have potential for improvement. The ordering pattern for new presentations of back problems was inconsistent with all established guidelines for management of back problems.
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