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  1. Appropriateness of referrals for open-access endoscopy : How do physicians in different medical specialities do ?

    Article - En anglais

    Background 

    Open-access endoscopy allows nongastroenterologist physicians the opportunity to directly schedule elective common endoscopic procedures for their patients without having them first examined in the gastrointestinal clinic.

    There are few data as to whether nongastroenterologist physicians in the United States schedule patients for appropriate indications.

    Objectives 

    To examine our practice to see whether patients undergoing open-access endoscopy were scheduled for appropriate indications and to see whether there were differences among physicians in various medical specialties.

    Methods 

    We prospectively tracked 310 consecutive patients scheduled for open-access esophagogastroduodenoscopy (EGD) and colonoscopy by nongastroenterologist physicians over a 9-month period in our academic practice setting to determine whether the indications for performing the procedures were appropriate.

    The American Society for Gastrointestinal Endoscopy criteria (revised in 1992) were used as the standard for comparison.

    Results 

    Primary care physicians (family practitioners and general internists) did a superior job of scheduling patients for appropriate indications for EGD and colonoscopy than did non-primary care physicians (internal medicine subspecialists and surgeons) : 97.0% vs 81.3% for EGD (P=04) and 84.9% vs 66.7% for colonoscopy (P=02), respectively. (...)

    Mots-clés Pascal : Endoscopie, Appareil digestif, Oesophagoscopie, Gastroscopie, Colonoscopie, Recommandation, Médecin, Expérience professionnelle, Spécialité médicale, Etude comparative, Indication, Homme, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire

    Mots-clés Pascal anglais : Endoscopy, Digestive system, Esophagoscopy, Gastroscopy, Colonoscopy, Recommendation, Physician, Professional experience, Medical specialty, Comparative study, Indication, Human, United States, North America, America, Health staff

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0483351

    Code Inist : 002B24E06. Création : 10/04/1997.