To contrast practices of physicians'office laboratories in the years 1988 and 1996 and ascertain physicians'perception of the effect of the Clinical Laboratory Improvement Amendments of 1988 (CLIA).
Mailed surveys to members of the Illinois chapter of the American Academy of Pediatrics in 1988 and 1996.
There were 525 and 980 respondents in 1988 and 1996, respectively ; analyses included 282 and 374 surveys representing offices where direct patient care was provided in a nonhospital setting.
A paired analysis was also conducted on 101 offices that responded to both surveys.
There was a decline from 1988 to 1996 in the percentage of offices doing in-office laboratory testing (93% to 84%, respectively ; X2 test ; P<. 01) and median number of types of tests (6 tests vs 4 tests ; Mann-Whitney U test ; P<. 001).
Decreases (X2 test ; P<. 01) were seen in the proportion of offices offering throat culture for group A streptococci (63% to 33%), urinalysis (54% to 33%), urine culture (53% to 22%), rapid hemagglutination slide test for mononucleosis (42% to 17%), theophylline level (27% to 4%), and total cholesterol (22% to 13%). The proportion of offices offering urine dipstick, hematocrit or hemoglobin, complete blood cell count, and stool occult blood tests remained stable.
For solo practitioner offices only, streptococcal antigen detection testing decreased (66% to 39% ; X2 test ; P<. 001). (...)
Mots-clés Pascal : Examen laboratoire, Médecin, Enquête par correspondance, Critère performance, Facteur efficacité, Etude comparative, Evaluation, Pédiatrie, Homme, Etats Unis, Amérique du Nord, Amérique, Organisation santé
Mots-clés Pascal anglais : Laboratory investigations, Physician, Mail inquiry, Performance requirement, Effectiveness factor, Comparative study, Evaluation, Pediatrics, Human, United States, North America, America, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0311492
Code Inist : 002B30A09. Création : 27/11/1998.