Domiciliary radiography : an important service ?
General practitioners' (GP) perceptions, comparative costs and potential influence on patient management of a domiciliary radiography service were reviewed.
A postal questionnaire was sent to 159 local GPs, 130 of whom responded.
Seventy-one per cent of respondents had requested domiciliary radiography in the previous year and 79% felt loss of the service could potentially be detrimental/Although 98% recognized that a chest X-ray was a suitable domiciliary radiography examination, 6% thought that a barium swallow could be adequately carried out with domiciliary equipment.
Forty-nine per cent perceived a need for a domiciliary ultrasound service.
Sixty-three per cent believed that domiciliary radiography was cheaper than return ambulance transport with departmental examination, although estimates showed a domiciliary visit to cost £82 versus £60 for a departmental visit.
A retrospective review of 50 consecutive domiciliary radiography examinations showed that elderly and immobile patients were imaged most frequently.
Malignancy was diagnosed in 14%, infection in 26% and a fracture in 14%. Overall there was an anticipated management change in 50% of patients.
Mots-clés Pascal : Radiographie, A domicile, Coût financement, Médecin généraliste, Exploration radiologique, Exploration ultrason, Evaluation professionnelle, Radiodiagnostic, Radiologie
Mots-clés Pascal anglais : Radiography, At home, Financing cost, General practitioner, Radiologic investigation, Sonography, Professional evaluation, Radiodiagnosis, Radiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0152125
Code Inist : 002B30A05. Création : 09/06/1995.