Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy
Many patients with suspected allergy are referred to specialist care inappropriately. We aimed to develop and implement an online decision pathway to aid General Practitioners’ (GPs) management decisions in suspected allergy. Our study involved 1487 GPs, 3 referral management centres, 5 GP system su...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2014-07-01
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| Series: | Journal of Public Health Research |
| Subjects: | |
| Online Access: | http://www.jphres.org/index.php/jphres/article/view/248 |
| _version_ | 1797965397595521024 |
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| author | Ray B. Jones Emily J. Ashurst Dafydd Jones Roland Gude Edward Kaminski |
| author_facet | Ray B. Jones Emily J. Ashurst Dafydd Jones Roland Gude Edward Kaminski |
| author_sort | Ray B. Jones |
| collection | DOAJ |
| description | Many patients with suspected allergy are referred to specialist care inappropriately. We aimed to develop and implement an online decision pathway to aid General Practitioners’ (GPs) management decisions in suspected allergy. Our study involved 1487 GPs, 3 referral management centres, 5 GP system suppliers, 4 primary care trusts, and 1 specialist allergy clinic. The pathway was implemented by 3/5 GP system suppliers, published to Map of Medicine and on a specialist clinic website. In the first year, the pathway ranked in the top 10/160 local care maps accessed via Map of Medicine and was viewed 900 times. Only 96 GPs registered to use the clinic website. Only 110 (7%) GPs responded to the feedback request, of which 13/110 (12%) had used the pathway; nearly all thought it useful. It was used by referral management centres as <em>explanation</em> of rejected referrals. Alternative approaches to embed its use are required. |
| first_indexed | 2024-04-11T01:58:13Z |
| format | Article |
| id | doaj.art-2603c9912cfa4d3ab9578c6352022cb0 |
| institution | Directory Open Access Journal |
| issn | 2279-9028 2279-9036 |
| language | English |
| last_indexed | 2024-04-11T01:58:13Z |
| publishDate | 2014-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Public Health Research |
| spelling | doaj.art-2603c9912cfa4d3ab9578c6352022cb02023-01-03T04:37:14ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362014-07-013210.4081/jphr.2014.24884Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergyRay B. Jones0Emily J. Ashurst1Dafydd Jones2Roland Gude3Edward Kaminski4School of Nursing and Midwifery, Faculty of Health and Human Sciences, Plymouth UniversitySchool of Nursing and Midwifery, Faculty of Health and Human Sciences, Plymouth UniversityNorthern, Eastern and Western Devon Clinical Commissioning Group, Devon; Tamar Referral and Appointments Centre, DevonSentinel Healthcare SW CiC, PlymouthPeninsula Allergy Service, Derriford Hospital, PlymouthMany patients with suspected allergy are referred to specialist care inappropriately. We aimed to develop and implement an online decision pathway to aid General Practitioners’ (GPs) management decisions in suspected allergy. Our study involved 1487 GPs, 3 referral management centres, 5 GP system suppliers, 4 primary care trusts, and 1 specialist allergy clinic. The pathway was implemented by 3/5 GP system suppliers, published to Map of Medicine and on a specialist clinic website. In the first year, the pathway ranked in the top 10/160 local care maps accessed via Map of Medicine and was viewed 900 times. Only 96 GPs registered to use the clinic website. Only 110 (7%) GPs responded to the feedback request, of which 13/110 (12%) had used the pathway; nearly all thought it useful. It was used by referral management centres as <em>explanation</em> of rejected referrals. Alternative approaches to embed its use are required.http://www.jphres.org/index.php/jphres/article/view/248allergy, referral, decision support, primary-secondary care interface |
| spellingShingle | Ray B. Jones Emily J. Ashurst Dafydd Jones Roland Gude Edward Kaminski Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy Journal of Public Health Research allergy, referral, decision support, primary-secondary care interface |
| title | Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy |
| title_full | Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy |
| title_fullStr | Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy |
| title_full_unstemmed | Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy |
| title_short | Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy |
| title_sort | development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy |
| topic | allergy, referral, decision support, primary-secondary care interface |
| url | http://www.jphres.org/index.php/jphres/article/view/248 |
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