Document Detail


Panellist consistency in the assessment of medical appropriateness.
MedLine Citation:
PMID:  10160019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Where information about the appropriateness of a surgical procedure is lacking, expert panels have been used to establish guidelines for medical practitioners. Such a panel was convened to assess the appropriateness of percutaneous transluminal coronary angioplasty and coronary artery bypass graft surgery in the Netherlands. The panel, consisting of interventional cardiologists and cardiothoracic surgeons, used a modified Delphi process to rate 1126 clinical indications over two rounds. This article describes the degree of change in both agreement amongst members and in the appropriateness ratings over the two rounds, and examines the internal consistency of the ratings of individual panellists. Over the two rounds, agreement increased. Although most appropriateness ratings remained unchanged, there was significant movement from equivocal ratings to determinate ratings. While individual members showed some degree of inconsistency in their scoring, the panel as a whole scored very consistently. The observed changes in appropriateness were consistent with expectations, showing that the appropriateness method is used logically and consistently by panellists.
Authors:
J McDonnell; A Meijler; J P Kahan; S J Bernstein; H Rigter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health policy (Amsterdam, Netherlands)     Volume:  37     ISSN:  0168-8510     ISO Abbreviation:  Health Policy     Publication Date:  1996 Sep 
Date Detail:
Created Date:  1996-10-09     Completed Date:  1996-10-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8409431     Medline TA:  Health Policy     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  139-52     Citation Subset:  H    
Affiliation:
Institute for Medical Technology Assessment, Erasmus University, Rotterdam, Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary / utilization*
Coronary Artery Bypass / utilization*
Delphi Technique
Health Services Research / methods*
Humans
Netherlands
Peer Review, Health Care*
Physician's Practice Patterns / statistics & numerical data
Practice Guidelines as Topic
Utilization Review / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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