Variation in spirometry utilization between trained general practitioners in practices equipped with a spirometer.
Publication year
2006Source
Scandinavian Journal of Primary Health Care, 24, 2, (2006), pp. 81-87ISSN
Publication type
Article / Letter to editor

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Organization
Neurology
IQ Healthcare
General Practice
Former Organization
Centre for Quality of Care Research
Radboud University Nijmegen Medical Centre
Journal title
Scandinavian Journal of Primary Health Care
Volume
vol. 24
Issue
iss. 2
Page start
p. 81
Page end
p. 87
Subject
DCN 2: Functional Neurogenomics; EBP 3: Effective Primary Care and Public Health; EBP 4: Quality of Care; N4i 1: Pathogenesis and modulation of inflammation; NCEBP 14: Cardiovascular diseases; NCEBP 3: Implementation Science; NCEBP 7: Effective primary care and public healthAbstract
OBJECTIVE: To explore spirometry utilization among general practitioners and identify practitioner and practice-related factors associated with spirometry utilization. DESIGN: Multivariate multilevel cross-sectional analysis of a questionnaire survey. SETTING: Some 61 general practices involved in a spirometry evaluation programme in the Netherlands. All practices owned a spirometer and were trained to perform spirometry. SUBJECTS: A total of 144 general practitioners and 179 practice assistants. MAIN OUTCOME MEASURES: Extent of spirometry utilization for five indications from national COPD/asthma guidelines, practitioner and practice-related factors associated with spirometry utilization. RESULTS: The response rate was 97%. General practitioners used spirometry mostly to evaluate treatment with inhaled steroids (58%). Significant practitioner-related factors associated with spirometry utilization were: general practitioners' job satisfaction, general practitioners' general interest in research, and prior participation in spirometry training. Practice-related factors associated with spirometry utilization were: presence of a practice nurse, delegation of medical tasks to practice assistants, use of spirometry in different rooms, and use of protocols in practice. CONCLUSION: Practitioner- as well as practice-related factors were associated with the extent of spirometry utilization. In particular, it is essential to improve practice-related factors (e.g. presence of a practice nurse, more delegation of medical tasks to the practice assistant).
This item appears in the following Collection(s)
- Academic publications [188958]
- Electronic publications [87974]
- Faculty of Medical Sciences [74365]
- Open Access publications [57379]
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