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Laboratory Test Form Design Influences Test Ordering by General Practitioners in the Netherlands

Bibliographic Data

ID9096366
AuthorsJoost O M Zaat, Joost Zaat (corresponding author), Jacques Th M Van Eijk, Jacques Thm Van Eijk (Amsterdam Public Health, corresponding author), Harry A Bonte
Year1992
Volume30
Issue3
Pages189-198
Publication date1992-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199203000-00001
PMID1538607
OpenAlexW2086433754
LanguageEN
Citations received2
References cited7

The effect of listing fewer laboratory tests on the test request form on test-ordering behavior of a group of 47 Dutch general practitioners was studied. The number of laboratory tests ordered by this experimental group during a 12-month period was recorded. The usual, old standard form was used by a control group of 28 general practitioners in a different region. After having used the old, standard form with 178 tests for 5 months, the experimental group received forms listing only 15 hematological and chemical tests plus several urine and feces tests, and space was allowed for "others." A comparison of the experimental and control periods showed that the number of tests ordered monthly in the experimental group was reduced by 18%. When the usual standard form was re-introduced, the general practitioners quickly returned to their old pattern. Results revealed that fixed and often unsound routine influences the use of additional diagnostic procedures. In addition, limiting and restructuring the test-ordering forms may break the routine but does not essentially modify the rationale of test-ordering behavior

Statistics · Test (biology) · Test design · Test method · Clinical Laboratory Practices and Quality Control · Computer Science · Geology · Mathematics · Medicine · Meta-analysis and systematic reviews · Scientific Measurement and Uncertainty Evaluation

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Unique citing works2
Citations per year0,06
Citation span1993 - 2019 (27)
Citation velocityhistorical
Highly citedNo

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