PMID: 20642420Jul 21, 2010Paper

Are rates of pathology test ordering higher in general practices co-located with pathology collection centres?

The Medical Journal of Australia
David M StuddertLyle C Gurrin

Abstract

To determine whether rates of pathology test ordering by general practitioners in general practices co-located with pathology collection centres (PCCs) are higher than those of GPs in practices located apart from PCCs. We identified all practices in the Melbourne and Sydney metropolitan areas that were co-located with PCCs (same or immediately adjacent suite) and the date co-location was established. This information was merged with the Bettering the Evaluation and Care of Health database to identify samples of GP-patient encounters in co-located practices (n = 31,700) and practices located apart from the nearest PCC (n = 289,700) over the period 2000-2009. Using Poisson regression analysis and logistic regression analysis, we compared GP test-ordering rates across the two types of practices, controlling for a range of potential confounders. Numbers of tests ordered per encounter; likelihood of ordering one or more tests per encounter. In unadjusted analyses, GPs in co-located practices ordered more pathology tests than GPs in practices located apart from PCCs (40.3 v 37.0 tests per 100 encounters, P = 0.01) and had a higher likelihood of ordering one or more tests (16.8% v 15.5% of encounters, P < 0.01). After adjusting for ot...Continue Reading

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Citations

May 10, 2021·The Medical Journal of Australia·Caroline de Moel-Mandel, Vijaya Sundararajan

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