• Scand J Prim Health Care · Dec 2003

    Randomized Controlled Trial Clinical Trial

    Randomised controlled trial of the effectiveness of feedback in improving test ordering in general practice.

    • Richard Baker, James Falconer Smith, and Paul C Lambert.
    • Clinical Governance Research and Development Unit, Department of General Practice and Primary Health Care, University of Leicester, Leicester General Hospital, UK. rb14@le.ac.uk
    • Scand J Prim Health Care. 2003 Dec 1; 21 (4): 219-23.

    ObjectiveTo assess the effectiveness of feedback on the number of pathology tests ordered by general practices.DesignRandomised controlled trial.SettingGeneral practices in two primary care groups in Leicestershire, UK.Subjects58 general practitioners in 17 practices received guidelines then feedback at 3-month intervals for 1 year about the numbers of thyroid function, rheumatoid factor tests and urine cultures they ordered, and 38 general practitioners in 16 practices received guidelines then feedback about lipid and plasma viscosity tests.Main Outcome MeasuresNumbers of tests requested per thousand patients registered with each practice. RESULTS; There were no changes in the numbers of tests per thousand requested in either of the study groups for any of the tests.ConclusionsFeedback did not have an influence on test ordering by general practitioners in this study. More intensive strategies may be required to change the use of laboratory tests.

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