Open access gastroscopy : second survey of current practice in the United Kingdom.
In June 1990 a survey of members of the endoscopy section of the British Society of Gastroenterology showed that 47% of respondents were offering some form of open access gastroscopy (OAG).
Only 10% offered true (non-censored) OAG.
The survey was repeated in June 1994.
The overall provision of OAG had risen to 74%, most of whom were offering true OAG.
Censored OAG is still widely practised and characterised by referral letters to a consultant in contrast with the use of referral forms (p<0.001).
Referral forms are being increasingly used and are an effective way of capturing important data such as the patients'symptoms (100%), previous treatment (87%), non-steroidal anti-inflammatory drug or aspirin use (78%), suspected diagnosis (74%), and other medical conditions (72%). Forms were used to establish clinical responsibility with the general practitioner in 64% of units.
Standardised referral and reporting forms were used by 27% of respondents.
A perceived inability to cope with the expected workload was still the most commonly cited reason for not being able to offer OAG.
Although 20% of units with a single handed endoscopist were able to offer OAG, this compared with 68% of units with two or more endoscopists (p<0.001).
Only three units indicated that an OAG service had had to be withdrawn, but a further 12 consultants (nine units) were now offering an age restricted service because of excessive workload. (...)
Mots-clés Pascal : Gastroscopie, Accès libre, Prescription, Médecin généraliste, Demande, Malade, Evolution, Indication, Etude statistique, Homme, Royaume Uni, Europe, Endoscopie, Appareil digestif, Estomac
Mots-clés Pascal anglais : Gastroscopy, Open access, Prescription, General practitioner, Demand, Patient, Evolution, Indication, Statistical study, Human, United Kingdom, Europe, Endoscopy, Digestive system, Stomach
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0197044
Code Inist : 002B24E06. Création : 21/05/1997.