The effect of watchful waiting compared to immediate test ordering instructions on general practitioners' blood test ordering behaviour for patients with unexplained complaints; a randomized clinical trial (ISRCTN55755886)

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The effect of watchful waiting compared to immediate test ordering instructions on general practitioners' blood test ordering behaviour for patients with unexplained complaints; a randomized clinical trial (ISRCTN55755886)

BACKGROUND Immediate blood testing for patients presenting with unexplained complaints in family practice is superfluous from a diagnostic point of view. However, many general pracitioners (GPs) order tests immediately. Watchful waiting reduces the number of patients to be tested and the number of false-positive results. The objectives of this study are: to determine the feasibility of watchful...

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Blood test ordering for unexplained complaints in general practice: the VAMPIRE randomised clinical trial protocol. [ISRCTN55755886]

BACKGROUND General practitioners (GPs) frequently order blood tests when they see patients presenting with unexplained complaints. Due to the low prevalence of serious pathology in general practice, the risk of false-positive test results is relatively high. This may result in unnecessary further testing, leading to unfavourable effects such as patient anxiety, high costs, somatisation and morb...

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Effect of feedback on test ordering behaviour of general practitioners.

OBJECTIVE To assess the effect of feedback on the test ordering behaviour of general practitioners. DESIGN Comparison of requests at two diagnostic centres, and internal comparison between tests which were discussed in feedback and tests which were not. SETTING A diagnostic centre in Maastricht giving feedback and another elsewhere in the Netherlands (laboratory A) not giving feedback. SU...

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Factors predicting differences among general practitioners in test ordering behaviour and in the response to feedback on test requests.

BACKGROUND In a population of 85 general practitioners diagnostic test ordering behaviour has been changed by means of repeated individual feedback provided since 1985. OBJECTIVES We studied practitioner and practice characteristics which may explain differences in test ordering behaviour and in the extent to which general practitioners tend to change their behaviour according to the feedback...

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The effect of sound therapy on the anxiety and blood pressure of patients on the waiting list for gastrointestinal endoscopy: A randomized clinical trial

Background: Anxiety is one the main problems of patients on waiting list for endoscopic procedures. Previous studies have indicated adverse effects of anxiety on these patients. Aim: to determine the effect of sound therapy on the anxiety and blood pressure of patients on waiting list for endoscopy. Methods: This was a randomized clinical trial, in which 124 patients on waiting list for endosco...

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ژورنال

عنوان ژورنال: Implementation Science

سال: 2012

ISSN: 1748-5908

DOI: 10.1186/1748-5908-7-29