Notkun heimilis- og hjartalækna á rannsóknum í efna- og blóðmeinafræði
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationLæknablaðið 1992, 78(7):279-85
AbstractThe optimal use of clinical laboratory tests by doctors is not known. Reasons behind requests for laboratory tests are often complicated and are changing fast due to rapid progress in technology. A retrospective study was performed on a computer accumulated database of patients referred to an outpatient laboratory in Reykjavik during the period from 1. April 1987 to 31. December 1990. Two groups of doctors were selected for the study, general practitioners and cardiologists. The material consisted of about 21000 referrals of 14500 patients, 97% of which were referred by 26 general practitioners and 11 cardiologists. The well equipped and highly automated laboratory offers all the most common laboratory tests in clinical haematology and biochemistry together with some not so common, over ninety different tests in all. General practitioners referred 1.7 times more women than men and the largest number was in the age group 20-30 years, numbers declining slowly with age. The cardiologists referred 1.3 times more men than women and the 50-59 and 60-69 age groups were the most numerous. The distribution of age and sex was in fair agreement with the known prevalence of cardiovascular diseases in the Icelandic population. Blood status and ESR were the tests most frequently asked for by both groups of doctors but otherwise requests were different. Cardiologists requested tests for lipids, glucose, kidney tests and electrolytes most often, whereas general practitioners requested a greater variety of tests, large groups being liver tests and enzymes, serum proteins and haematopoiesis related tests such as iron, and folate. A significant increase in the number of tests per patient with increasing age was found, ranging from 3.3 to 7.7 for the ages 0-9 to 60-69 years, respectively. During the observation period 70% of the patients of both groups were referred only once and 10% were referred more than twice, with little difference between the two groups of doctors. It is concluded that, in spite of increased intensity and sophistication of primary care in Iceland, both groups of doctors in the area specialize in their field, use the laboratory modestly and, by requesting tests associated with the search for risk factors of diseases, do a substantial screening and preventive work as well.
Könnuð var notkun heimilis- og hjartalækna utan sjúkrahúsa á rannsóknum í efna- og blóðmeinafræði. Augljós og marktækur munur var á sjúklingahópum og rannsóknanotkun læknanna úr þessum tveimur greinum. Könnunin bendir til þess, að læknar sérhæfi sig í störfum og vinni mikið forvarnarstarf á stofum sínum. Notkun á rannsóknum virðist mjög í hófi og svipuð og meðal starfsbræðra á Norðurlöndum.
DescriptionNeðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open