tailieunhanh - báo cáo khoa học: " Explaining variation in GP referral rates for x-rays for back pain"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Explaining variation in GP referral rates for x-rays for back pain | Implementation Science BioMed Central Research article Explaining variation in GP referral rates for x-rays for back pain Rachel Baker Jan Lecouturier and Senga Bond Open Access Address School of Population and Health Sciences University of Newcastle upon Tyne Newcastle upon Tyne UK Email Rachel Baker - Jan Lecouturier - Senga Bond - Corresponding author Published 02 August 2006 Received 02 December 2005 Implementation Science 2006 1 15 doi 1748-5908-1-15 Accepted 02 August 2006 This article is available from http content 1 1 15 2006 Baker et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Despite the availability of clinical guidelines for the management of low back pain LBP there continues to be wide variation in general practitioners GPs referral rates for lumbar spine x-ray LSX . This study aims to explain variation in GPs referral rates for LSX from their accounts of the management of patients with low back pain. Methods Qualitative semi-structured interviews with 29 GPs with high and low referral rates for LSX in North East England. Thematic analysis used constant comparative techniques. Results Common and divergent themes were identified among high- and low-users of LSX. Themes that were similar in both groups included an awareness of current guidelines for the use of LSX for patients with LBP and the pressure from patients and institutional factors to order a LSX. Differentiating themes for the high-user group included a belief that LSX provides reassurance to patients that can outweigh risks pessimism about the management options for LBP and a belief that denying LSX would adversely affect