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Peter Vedsted

Primary care physicians' access to in-house ultrasound examinations across Europe: A questionnaire study

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Primary care physicians' access to in-house ultrasound examinations across Europe : A questionnaire study. / Aakjær Andersen, Camilla; Jensen, Martin Bach B.; Toftegaard, Berit Skjødeberg; Vedsted, Peter; Harris, Michael; Research Group, Örenäs.

I: BMJ Open, Bind 9, Nr. 9, e030958, 08.2019.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Aakjær Andersen, Camilla ; Jensen, Martin Bach B. ; Toftegaard, Berit Skjødeberg ; Vedsted, Peter ; Harris, Michael ; Research Group, Örenäs. / Primary care physicians' access to in-house ultrasound examinations across Europe : A questionnaire study. I: BMJ Open. 2019 ; Bind 9, Nr. 9.

Bibtex

@article{e1de06b17e3d43cc89352992daafeb8f,
title = "Primary care physicians' access to in-house ultrasound examinations across Europe: A questionnaire study",
abstract = "Objective The overall objective of this study was to examine the differences in ultrasound availability in primary care across Europe. Design Cross-sectional study. Setting Primary care. Participants Primary care physicians (PCPs). Primary and secondary outcomes measures The primary aim was to describe the variation in in-house primary care ultrasonography availability across Europe using descriptive statistics. The secondary aim was to explore associations between in-house ultrasonography availability and the characteristics of PCPs and their clinics using a mixed-effects logistic regression model. Results We collected data from 20 European countries. A total of 2086 PCPs participated, varying from 59 to 446 PCPs per country. The median response rate per country was 24.8%. The median (minimum-maximum) percentage of PCPs across Europe with access to in-house abdominal ultrasonography was 15.3% (0.0%-98.1%) and 12.1% (0.0%-30.8%) had access to in-house pelvic ultrasonography with large variations between countries. We found associations between in-house abdominal ultrasonography availability and larger clinics (OR 2.5, 95% CI 1.2 to 4.9) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 2.1, 95% CI 1.1 to 3.8). Corresponding associations were found between in-house pelvic ultrasonography availability and larger clinics (OR 1.9, 95% CI 1.3 to 2.7) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 3.0, 95% CI 1.8 to 5.1). Additionally, we found a negative association between urban clinics and in-house pelvic ultrasound availability (OR 0.5, 95% CI 0.2 to 0.9). Conclusions Across Europe, there is a large variation in PCPs' access to in-house ultrasonography and organisational aspects of primary care seem to determine this variation. If evidence continues to support ultrasonography as a front-line point-of-care test, implementation strategies for increasing its availability in primary care are needed. Future research should focus on facilitators and barriers that may affect the implementation process.",
keywords = "diagnostic radiology, organisation of health services, primary care, ultrasound",
author = "{Aakj{\ae}r Andersen}, Camilla and Jensen, {Martin Bach B.} and Toftegaard, {Berit Skj{\o}deberg} and Peter Vedsted and Michael Harris and {Research Group}, {\"O}ren{\"a}s",
year = "2019",
month = aug,
doi = "10.1136/bmjopen-2019-030958",
language = "English",
volume = "9",
journal = "B M J Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",
number = "9",

}

RIS

TY - JOUR

T1 - Primary care physicians' access to in-house ultrasound examinations across Europe

T2 - A questionnaire study

AU - Aakjær Andersen, Camilla

AU - Jensen, Martin Bach B.

AU - Toftegaard, Berit Skjødeberg

AU - Vedsted, Peter

AU - Harris, Michael

AU - Research Group, Örenäs

PY - 2019/8

Y1 - 2019/8

N2 - Objective The overall objective of this study was to examine the differences in ultrasound availability in primary care across Europe. Design Cross-sectional study. Setting Primary care. Participants Primary care physicians (PCPs). Primary and secondary outcomes measures The primary aim was to describe the variation in in-house primary care ultrasonography availability across Europe using descriptive statistics. The secondary aim was to explore associations between in-house ultrasonography availability and the characteristics of PCPs and their clinics using a mixed-effects logistic regression model. Results We collected data from 20 European countries. A total of 2086 PCPs participated, varying from 59 to 446 PCPs per country. The median response rate per country was 24.8%. The median (minimum-maximum) percentage of PCPs across Europe with access to in-house abdominal ultrasonography was 15.3% (0.0%-98.1%) and 12.1% (0.0%-30.8%) had access to in-house pelvic ultrasonography with large variations between countries. We found associations between in-house abdominal ultrasonography availability and larger clinics (OR 2.5, 95% CI 1.2 to 4.9) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 2.1, 95% CI 1.1 to 3.8). Corresponding associations were found between in-house pelvic ultrasonography availability and larger clinics (OR 1.9, 95% CI 1.3 to 2.7) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 3.0, 95% CI 1.8 to 5.1). Additionally, we found a negative association between urban clinics and in-house pelvic ultrasound availability (OR 0.5, 95% CI 0.2 to 0.9). Conclusions Across Europe, there is a large variation in PCPs' access to in-house ultrasonography and organisational aspects of primary care seem to determine this variation. If evidence continues to support ultrasonography as a front-line point-of-care test, implementation strategies for increasing its availability in primary care are needed. Future research should focus on facilitators and barriers that may affect the implementation process.

AB - Objective The overall objective of this study was to examine the differences in ultrasound availability in primary care across Europe. Design Cross-sectional study. Setting Primary care. Participants Primary care physicians (PCPs). Primary and secondary outcomes measures The primary aim was to describe the variation in in-house primary care ultrasonography availability across Europe using descriptive statistics. The secondary aim was to explore associations between in-house ultrasonography availability and the characteristics of PCPs and their clinics using a mixed-effects logistic regression model. Results We collected data from 20 European countries. A total of 2086 PCPs participated, varying from 59 to 446 PCPs per country. The median response rate per country was 24.8%. The median (minimum-maximum) percentage of PCPs across Europe with access to in-house abdominal ultrasonography was 15.3% (0.0%-98.1%) and 12.1% (0.0%-30.8%) had access to in-house pelvic ultrasonography with large variations between countries. We found associations between in-house abdominal ultrasonography availability and larger clinics (OR 2.5, 95% CI 1.2 to 4.9) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 2.1, 95% CI 1.1 to 3.8). Corresponding associations were found between in-house pelvic ultrasonography availability and larger clinics (OR 1.9, 95% CI 1.3 to 2.7) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 3.0, 95% CI 1.8 to 5.1). Additionally, we found a negative association between urban clinics and in-house pelvic ultrasound availability (OR 0.5, 95% CI 0.2 to 0.9). Conclusions Across Europe, there is a large variation in PCPs' access to in-house ultrasonography and organisational aspects of primary care seem to determine this variation. If evidence continues to support ultrasonography as a front-line point-of-care test, implementation strategies for increasing its availability in primary care are needed. Future research should focus on facilitators and barriers that may affect the implementation process.

KW - diagnostic radiology

KW - organisation of health services

KW - primary care

KW - ultrasound

UR - http://www.scopus.com/inward/record.url?scp=85072848427&partnerID=8YFLogxK

U2 - 10.1136/bmjopen-2019-030958

DO - 10.1136/bmjopen-2019-030958

M3 - Journal article

C2 - 31575576

AN - SCOPUS:85072848427

VL - 9

JO - B M J Open

JF - B M J Open

SN - 2044-6055

IS - 9

M1 - e030958

ER -