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dc.contributor.authorSezgin, Gorkem
dc.contributor.authorGeorgiou, Andrew
dc.contributor.authorHardie, Rae-Anne
dc.contributor.authorLi, Ling
dc.contributor.authorPont, Lisa G
dc.contributor.authorBadrick, Tony
dc.contributor.authorFranco, Guilherme S
dc.contributor.authorWestbrook, Johanna I
dc.contributor.authorRinehart, Natalie
dc.contributor.authorMcLeod, Adam
dc.contributor.authorPearce, Christopher
dc.contributor.authorShearer, Marianne
dc.contributor.authorWhyte, Robin
dc.contributor.authorDeveny, Elizabeth
dc.date.accessioned2020-02-17T00:58:45Z
dc.date.available2020-02-17T00:58:45Z
dc.date.issued2018
dc.identifier.issn2044-6055
dc.identifier.doi10.1136/bmjopen-2018-024223
dc.identifier.urihttp://hdl.handle.net/10072/391538
dc.description.abstractIntroduction In Australia, general practitioners usually are the first point of contact for patients with non-urgent medical conditions. Appropriate and efficient utilisation of pathology tests by general practitioners forms a key part of diagnosis and monitoring. However overutilisationand underutilisation of pathology tests have been reported across several tests and conditions, despite evidence-based guidelines outlining best practice in pathology testing. There are a limited number of studies evaluating the impact of these guidelines on pathology testing in general practice. The aim of our quantitative observational study is to define how pathology tests are used in general practice and investigate how test ordering practices align with evidence-based pathology guidelines. Methods and analysis Access to non-identifiable patient data will be obtained through electronic health records from general practices across three primary health networks in Victoria, Australia. Numbers and characteristics of patients, general practices, encounters, pathology tests and problems managed over time will be described. Overall rates of encounters and tests, alongside more detailed investigation between subcategories (encounter year, patient's age, gender, and location and general practice size), will also be undertaken. To evaluate how general practitioner test ordering coincides with evidence-based guidelines, five key candidate indicators will be investigated: Full blood counts for patients on clozapine medication; international normalised ratio measurements for patients on warfarin medication; glycated haemoglobin testing for monitoring patients with diabetes; vitamin D testing; and thyroid function testing. Ethics and dissemination Ethics clearance to collect data from general practice facilities has been obtained by the data provider from the RACGP National Research and Evaluation Ethics Committee (NREEC 17-008). Approval for the research group to use these data has been obtained from Macquarie University (5201700872). This study is funded by the Australian Government Department of Health Quality Use of Pathology Program (Agreement ID: 4-2QFVW4M). Findings will be reported to the Department of Health and disseminated in peer-reviewed academic journals and presentations (national and international conferences, industry forums).
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ Publishing Group Ltd
dc.relation.ispartofpagefrom024223:1
dc.relation.ispartofpageto024223:6
dc.relation.ispartofissue11
dc.relation.ispartofjournalBMJ Open
dc.relation.ispartofvolume8
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchOther Medical and Health Sciences
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1199
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsMedicine, General & Internal
dc.subject.keywordsGeneral & Internal Medicine
dc.subject.keywordsquality in health care
dc.titleCompliance with pathology testing guidelines in Australian general practice: protocol for a secondary analysis of electronic health record data
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSezgin, G; Georgiou, A; Hardie, R-A; Li, L; Pont, LG; Badrick, T; Franco, GS; Westbrook, JI; Rinehart, N; McLeod, A; Pearce, C; Shearer, M; Whyte, R; Deveny, E, Compliance with pathology testing guidelines in Australian general practice: protocol for a secondary analysis of electronic health record data, BMJ Open, 2018, 8 (11), pp. 024223:1-024223:6
dcterms.licensehttps://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated2020-02-17T00:55:06Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
gro.hasfulltextFull Text
gro.griffith.authorBadrick, Tony C.


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