Diagnostic and laboratory test ordering in Northern Portuguese Primary Health Care: a cross-sectional study

• Type: Article in International Scientific Journal
• Date: 2017

Authors

Luísa Sá (Author) FMUP; teixeira, a (Author) Other; Fernando Tavares (Author) Other; Costa-Pereira A (Author) FMUP; Cristina Costa Santos (Author) FMUP; Paulo Santos (Author) FMUP; Luciana Couto (Author) FMUP; Alberto Hespanhol (Author) FMUP; Carlos Martins (Author) FMUP

Journal

Title: BMJ Open

Vol. 7

ISSN: 2044-6055

Publisher: BMJ PUBLISHING GROUP

Indexing

ISI Web of Knowledge - 4 Citations

Scopus - 6 Citations

Other information

Authenticus ID: P-00N-J62

DOI: 10.1136/bmjopen-2017-018509

Abstract (EN): Objectives To characterise the test ordering pattern in Northern Portugal and to investigate the influence of context-related factors, analysing the test ordered at the level of geographical groups of family physicians and at the level of different healthcare organisations. Design Cross-sectional study. Setting Northern Primary Health Care, Portugal. Participants Records about diagnostic and laboratory tests ordered from 2035 family physicians working at the Northern Regional Health Administration, who served approximately 3.5 million Portuguese patients, in 2014. Outcomes To determine the 20 most ordered diagnostic and laboratory tests in the Northern Regional Health Administration; to identify the presence and extent of variations in the 20 most ordered diagnostic and laboratory tests between the Groups of Primary Care Centres and between health units; and to study factors that may explain these variations. Results The 20 most ordered diagnostic and laboratory tests almost entirely comprise laboratory tests and account for 70.9% of the total tests requested. We can trace a major pattern of test ordering for haemogram, glucose, lipid profile, creatinine and urinalysis. There was a significant difference (P<0.001) in test orders for all tests between Groups of Primary Care Centres and for all tests, except glycated haemoglobin (P=0.06), between health units. Generally, the Personalised Healthcare Units ordered more than Family Health Units. Conclusions The results from this study show that the most commonly ordered tests in Portugal are laboratory tests, that there is a tendency for overtesting and that there is a large variability in diagnostic and laboratory test ordering in different geographical and organisational Portuguese primary care practices, suggesting that there may be considerable potential for the rationalisation of test ordering. The existence of Family Health Units seems to be a strong determinant in decreasing test ordering by Portuguese family physicians. Approaches to ensuring more rational testing are needed.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 10