BMJ (Clinical research ed.) · 1993
Influence of Royal College of Radiologists' guidelines on referral from general practice. Royal College of Radiologists Working Party.
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Аннотация
OBJECTIVE: To measure the effect on general practitioner referrals for radiography of introducing guidelines of good practice together with monitoring and peer review.
DESIGN: Collection of referral data during 1 January 1989 to 31 December 1990. Guidelines were introduced on 1 January 1990.
SETTING: Open access radiology services provided by one non-teaching district in England.
SUBJECTS: 144614 registered patients from 22 practices.
MAIN OUTCOME MEASURES: Number of referrals per 1000 registered patients for radiography of the chest, skull, spine, abdomen, limbs, and joints and for barium investigation and excretion urography.
RESULTS: Overall referrals fell from 88.4/1000 registered patients to 77.2/1000 after the guidelines were introduced. The commonest reasons for referral were for examination of the chest, spine, and limbs and joints and referrals for these fell by 9.4%, 17.5%, and 13.5% respectively. Referrals for skull radiography fell by 30% (from 241 to 168).
CONCLUSIONS: By helping general practitioners to be more selective in their use of diagnostic radiology, the guidelines reduced the rate of referral and thus patients' exposure to radiation.
DESIGN: Collection of referral data during 1 January 1989 to 31 December 1990. Guidelines were introduced on 1 January 1990.
SETTING: Open access radiology services provided by one non-teaching district in England.
SUBJECTS: 144614 registered patients from 22 practices.
MAIN OUTCOME MEASURES: Number of referrals per 1000 registered patients for radiography of the chest, skull, spine, abdomen, limbs, and joints and for barium investigation and excretion urography.
RESULTS: Overall referrals fell from 88.4/1000 registered patients to 77.2/1000 after the guidelines were introduced. The commonest reasons for referral were for examination of the chest, spine, and limbs and joints and referrals for these fell by 9.4%, 17.5%, and 13.5% respectively. Referrals for skull radiography fell by 30% (from 241 to 168).
CONCLUSIONS: By helping general practitioners to be more selective in their use of diagnostic radiology, the guidelines reduced the rate of referral and thus patients' exposure to radiation.