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Establishing a general practitioner led minor injury service: mixed methods evaluation at 10 months with an emphasis on use of radiology by GPs in the out-of-hours setting.
Redmond, P Darker, C McDonnell, M O'Shea, B
Redmond, P
Darker, C
McDonnell, M
O'Shea, B
Authors
Advisors
Editors
Other Contributors
Date
2013-06
Date Submitted
Keywords
Other Subjects
Subject Mesh
Ambulatory Care
General Practice
General Practitioners
Health Care Surveys
Humans
Ireland
Patient Satisfaction
Qualitative Research
Radiography
Wounds and Injuries
General Practice
General Practitioners
Health Care Surveys
Humans
Ireland
Patient Satisfaction
Qualitative Research
Radiography
Wounds and Injuries
Planned Date
Start Date
Collaborators
Principal Investigators
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Redmondetal2013.pdf
Adobe PDF, 259.8 KB
Alternative Titles
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Abstract
A mixed methods study was conducted to evaluate a recently established general practitioner (GP) led minor injury (MI) service; it included a patient feedback study, a qualitative enquiry into the experience of the MI GPs, and analysis of use of radiology.
Forty-nine (81.6 %) patients surveyed were seen in 30 min or less. Forty-five (75 %) felt that the quality of the service was excellent/very good. Twenty-seven (45 %) responders felt that the X-ray service was expensive; 49 (81.6 %) patients said that they would be happy to use the service again. 271 X-rays were taken (137, 50.55 % upper limb, 95, 35.06 % lower limb, 18, 6.64 % CXR). One hundred and ninety-four (73.48 %) patients were self-financing. There was an 86.72 % (235/271) concordance between GP/radiologist findings. Issues elaborated by MI GPs at the focus group included secondary care/hospital interaction, patients' experience, professional fulfilment, competence concerns, finances, and interest in educational resources; they were unanimous in maintaining the service at 10 months.
This study demonstrates a positive experience by patients, and conservative evaluation of X-rays by GPs.
Forty-nine (81.6 %) patients surveyed were seen in 30 min or less. Forty-five (75 %) felt that the quality of the service was excellent/very good. Twenty-seven (45 %) responders felt that the X-ray service was expensive; 49 (81.6 %) patients said that they would be happy to use the service again. 271 X-rays were taken (137, 50.55 % upper limb, 95, 35.06 % lower limb, 18, 6.64 % CXR). One hundred and ninety-four (73.48 %) patients were self-financing. There was an 86.72 % (235/271) concordance between GP/radiologist findings. Issues elaborated by MI GPs at the focus group included secondary care/hospital interaction, patients' experience, professional fulfilment, competence concerns, finances, and interest in educational resources; they were unanimous in maintaining the service at 10 months.
This study demonstrates a positive experience by patients, and conservative evaluation of X-rays by GPs.
Language
en
ISSN
1863-4362
eISSN
ISBN
DOI
10.1007/s11845-012-0860-3
PMID
23115022