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Test result communication in primary care : clinical and office staff perspectives
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Litchfield, I. J., Bentham, L. M., Lilford, Richard and Greenfield, S. M. (2014) Test result communication in primary care : clinical and office staff perspectives. Family Practice, 31 (5). pp. 592-597. doi:10.1093/fampra/cmu041 ISSN 0263-2136.
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Official URL: http://dx.doi.org/10.1093/fampra/cmu041
Abstract
OBJECTIVE:
To understand how the results of laboratory tests are communicated to patients in primary care and perceptions on how the process may be improved.
DESIGN:
Qualitative study employing staff focus groups.
SETTING:
Four UK primary care practices.
PARTICIPANTS:
Staff involved in the communication of test results.
FINDINGS:
Five main themes emerged from the data: (i) the default method for communicating results differed between practices; (ii) clinical impact of results and patient characteristics such as anxiety level or health literacy influenced methods by which patients received their test result; (iii) which staff member had responsibility for the task was frequently unclear; (iv) barriers to communicating results existed, including there being no system or failsafe in place to determine whether results were returned to a practice or patient; (v) staff envisaged problems with a variety of test result communication methods discussed, including use of modern technologies, such as SMS messaging or online access.
CONCLUSIONS:
Communication of test results is a complex yet core primary care activity necessitating flexibility by both patients and staff. Dealing with the results from increasing numbers of tests is resource intensive and pressure on practice staff can be eased by greater utilization of electronic communication. Current systems appear vulnerable with no routine method of tracing delayed or missing results. Instead, practices only become aware of missing results following queries from patients. The creation of a test communication protocol for dissemination among patients and staff would help ensure both groups are aware of their roles and responsibilities.
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Family Practice | ||||
Publisher: | Oxford University Press | ||||
ISSN: | 0263-2136 | ||||
Official Date: | 2014 | ||||
Dates: |
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Volume: | 31 | ||||
Number: | 5 | ||||
Page Range: | pp. 592-597 | ||||
DOI: | 10.1093/fampra/cmu041 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Related URLs: |
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