| The concept of individualized hypertension care in general practice and outpatient clinics. The general practitioner hypertension practice study (III). | |
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MedLine Citation:
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PMID: 7569474 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine test ordering practice among general practitioners and hospital medical specialists according to the concept of individualized hypertension care. DESIGN: Mailed hypothetical case histories, with reference panels to categorize tests. SETTING: Uppsala-Orebro region in mid-Sweden. SUBJECTS: General practitioners (N = 90) and hospital medical specialists (N = 69) in randomly sampled primary health care centres and hospitals. MAIN OUTCOME MEASURES: Test ordering scores. RESULTS: 84% of invited GPs and 72% of specialists participated. According to reference panel standards, primary care physicians performed 75% of obligatory tests and specialists 88%. Superfluous tests constituted a larger proportion of the practice of hospital specialists (11-28%) than GPs (2-12%) in the six cases. Summarized examination scores revealed a wide practice variation within and between the two physician categories, specialists scoring significantly higher in three cases. Standardization of practice was more common among specialists, and differed significantly regarding serum potassium test, chest X-ray and ECG. Both groups deviated from current guidelines by omitting metabolic parameters. CONCLUSION: There is considerable practice variation in individualized hypertension care, which might influence treatment outcome. Practice audit and continuing medical education could contribute to care standardization according to guidelines. |
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Authors:
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M Ribacke |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Scandinavian journal of primary health care Volume: 13 ISSN: 0281-3432 ISO Abbreviation: Scand J Prim Health Care Publication Date: 1995 Jun |
Date Detail:
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Created Date: 1995-10-26 Completed Date: 1995-10-26 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 8510679 Medline TA: Scand J Prim Health Care Country: NORWAY |
Other Details:
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Languages: eng Pagination: 112-7 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, University of Uppsala, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Chi-Square Distribution Family Practice / standards* Humans Hypertension / therapy* Middle Aged Physician's Practice Patterns* Quality Assurance, Health Care* Reference Standards Sweden |
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