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ORIGINAL ARTICLE

Costly regional variations in primary health care test utilization in Sweden

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Pages 164-170 | Received 24 Aug 2009, Accepted 30 Dec 2009, Published online: 24 Feb 2010

References

  • Winkens R, Dinant GJ. Evidence base of clinical diagnosis: rational, cost effective use of investigations in clinical practice. BMJ 2002;324:783–5.
  • Rao GG, Crook M, Tillyer ML. Pathology tests: is the time for demand management ripe at last? J Clin Pathol 2003; 56:243–8.
  • Axt-Adam P, van der Wouden JC, van der Does E. Influencing behavior of physicians ordering laboratory tests: a literature study. Med Care 1993;31:784–94.
  • van Walraven C, Naylor CD. Do we know what inappropriate laboratory utilization is? JAMA 1998;280:550–8.
  • Plapp FV, Essmyer CE, Byrd AB, Zucker ML. How to successfully influence laboratory test utilization. Clin Leadersh Manag Rev 2000;14:253–60.
  • Rang M. The Ulysses syndrome. Can Med Assoc J 1972; 106:122–3.
  • Salloum S, Franssen E. Laboratory investigations in general practice. Can Fam Physician 1993;39:1055–61.
  • Grimshaw J, Freemantle N, Wallace S, Russell I, Hurwitz B, Watt I, Long A, Sheldon T. Developing and implementing clinical practice guidelines. Qual Health Care 1995;4: 55–64.
  • Sucov A, Bazarian JJ, deLahunta EA, Spillane L. Test ordering guidelines can alter ordering patterns in an academic emergency department. J Emerg Med 1999;17:391–7.
  • Koch H, van Bokhoven MA, ter Riet G, Hessels KM, van der Weijden T, Dinant GJ, Bindels PJ. What makes general practitioners order blood tests for patients with unexplained complaints? A cross-sectional study. Eur J Gen Pract 2009; 15:22–8.
  • Kumwilaisak K, Noto A, Schmidt UH, Beck CI, Crimi C, Lewandrowski K, Bigatello LM. Effect of laboratory testing guidelines on the utilization of tests and order entries in a surgical intensive care unit. Crit Care Med 2008;36: 2993–9.
  • Statistikdatabasen. Statistics Sweden.
  • Dry chemistry pathology in general practice. An assessment of utilisation, perceptions and impact on patient care. Non-Laboratory Pathology Working Party of the National Health Technology Advisory Panel. Med J Aust 1991;154:511–8.
  • Sood R, Sood A, Ghosh AK. Non-evidence-based variables affecting physicians' test-ordering tendencies: a systematic review. Neth J Med 2007;65:167–77.
  • Pysher TJ, Bach PR, Lowichik A, Petersen MD, Shields LH. Chemistry test ordering patterns after elimination of predefined multitest chemistry panels in a children's hospital. Pediatr Dev Pathol 1999;2:446–53.
  • Leurquin P, Van Casteren V, De Maeseneer J. Use of blood tests in general practice: a collaborative study in eight European countries. Eurosentinel Study Group. Br J Gen Pract 1995;45:21–5.
  • Taylor JB. Relationships among patient age, diagnosis, hospital type, and clinical laboratory utilization. Clin Lab Sci 2005;18:8–15.
  • Kristiansen IS, Hjortdahl P. The general practitioner and laboratory utilization: why does it vary? Fam Pract 1992;9: 22–7.
  • [Population November 1 per county, age and sex. Year 2002–2009.] Statistics Sweden.
  • [Population year 2004 per municipality, county and area type as well as change in population]. Swedish National Rural Development Agency.
  • Peterson S, Eriksson M, Tibblin G. Practice variation in Swedish primary care. Scand J Prim Health Care 1997;15: 68–75.
  • Sjukvårdsdata i fokus. Swedish Association of Local Authorities and Regions.
  • Asberg A, Midthjell K, Holmen J. [Variation in the number of clinical chemical analyses requested by primary health care]. Tidsskr Nor Laegeforen 1994;114:1617–9.
  • Davis P, Gribben B, Scott A, Lay-Yee R. The ‘supply hypothesis' and medical practice variation in primary care: testing economic and clinical models of inter-practitioner variation. Soc Sci Med 2000;50:407–18.
  • Grytten J, Sorensen R. Practice variation and physician-specific effects. J Health Econ 2003;22:403–18.
  • Mindemark M, Larsson A. Long-term effects of an education programme on the optimal use of clinical chemistry testing in primary health care. Scand J Clin Lab Invest 2009;69:481–6.
  • [Population in the country, per county and municipality 31/12/2008, and changes in population 2008] Statistics Sweden.

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