Abstract:
RATIONALE, AIMS AND OBJECTIVES:A national guideline was proposed to enable shared care in hearing complaints and therefore to change patient flows. In this study the effect of this guideline is evaluated. METHODS:From a total of 3500 patients with hearing complaints, consulting the Ear Nose and Throat Department of a large non-university hospital in the Netherlands in 2002, a random sample of 1000 patients was selected. Patient flow was simulated according to guideline criteria with as main outcome measures: the effect of the guideline on patient flow. RESULTS:Simulation of the consensus guideline did not really alter patient flow, with 89% to 97% of the patients still being referred to the Ear Nose and Throat specialist or Audiological Centre. Age, ear operations in the past and asymmetric hearing loss are the most important factors determining whether a person is labelled as a patient in need of medical care. CONCLUSION:The present study emphasizes the importance of designing evidence-based guidelines for shared care.
journal_name
J Eval Clin Practjournal_title
Journal of evaluation in clinical practiceauthors
Duijvestijn JA,Grutters JP,Chenault MN,Joore MA,Manni JJ,Anteunis LJdoi
10.1111/j.1365-2753.2010.01422.xsubject
Has Abstractpub_date
2011-04-01 00:00:00pages
209-14issue
2eissn
1356-1294issn
1365-2753journal_volume
17pub_type
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journal_title:Journal of evaluation in clinical practice
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