PMID: 9638022Jun 25, 1998Paper

Uncensored open access gastroscopy--limited resources--unlimited demand

Irish Journal of Medical Science
L O'NeillP O'Regan

Abstract

In the first 3 yr of an uncensored open access gastroscopy service in a County Hospital, 891 patients attended for first gastroscopy. The data on these patients is presented and compared with a randomly selected group who attended for gastroscopy in the yr prior to the establishment of the service having come to the normal Consultant clinics. In the open access group the gastroscopy examination was normal in 29 per cent (32 per cent comparator group), 31 per cent had major abnormalities (33 per cent comparator group) and 40 per cent had minor abnormalities (35 per cent comparator group). Delay time from referral to endoscopy was 37 days for open access patients (45 days comparator group). Only 6 per cent of open access patients were brought back to O.P.D. (47 per cent comparator group) and 72 per cent of open access patients returned directly to their family doctor (28 per cent comparator group). A comparison of the Clonmel findings with British centres reporting their results shows a broadly similar picture. It is concluded that almost 1,300 unnecessary clinic visits were avoided by the provision of the open access service, some reduction in delay time to gastroscopy was achieved, the family doctor maintained control of patien...Continue Reading

References

Feb 17, 1979·British Medical Journal·G HoldstockC A Loehry
Nov 5, 1977·British Medical Journal·J A FisherC A Loehry
Feb 10, 1990·BMJ : British Medical Journal·D D KerriganG H Hutchinson

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Citations

Jan 7, 2000·Irish Journal of Medical Science·R KingstonD O'Ceallaigh
Dec 26, 2001·The New England Journal of Medicine·F Catella-LawsonG A FitzGerald
Mar 10, 2001·Quality in Health Care : QHC·A MelvilleA Eastwood
Feb 22, 2012·Journal of Clinical Nursing·Tommy DickinsonChristine Hallett
Nov 20, 2002·European Journal of Gastroenterology & Hepatology·Mark R Fox, Adam W Harris
Aug 15, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Claire Friedemann SmithBrian D Nicholson

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