1. Larger differences in utilization of rarely requested tests in primary care in Spain
- Author
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MARIA SALINAS, ANTONIO BUÑO SOTO, Emilio Flores, Maite Lopez-Garrigos, MARIA ISABEL LLOVET LOMBARTE, and Marcos López-Hoyos
- Subjects
medicine.medical_specialty ,National Health Programs ,Urinalysis ,Anti-nuclear antibody ,Clinical Biochemistry ,Population ,laboratory proficiency testing ,Primary care ,Immunologic Tests ,primary care ,chemistry.chemical_compound ,Catchment Area, Health ,Internal medicine ,preanalytical phase ,Humans ,clinical laboratory services ,Medicine ,Rheumatoid factor ,Practice Patterns, Physicians' ,test requesting ,education ,Creatinine ,education.field_of_study ,Hematologic Tests ,Primary Health Care ,medicine.diagnostic_test ,Diagnostic Tests, Routine ,business.industry ,Biochemistry (medical) ,Surgery ,chemistry ,Quartile ,Spain ,Laboratory Proficiency Testing ,business ,Research Article - Abstract
Introduction The study was performed to compare and analyze the inter-departmental variability in the request of rarely requested laboratory tests in primary care, as opposed to other more common and highly requested tests. Materials and methods Data from production statistics for the year 2012 from 76 Spanish laboratories was used. The number of antinuclear antibodies, antistreptolysin O, creatinine, cyclic citrullinated peptide antibodies, deaminated peptide gliadine IgA antibodies, glucose, protein electrophoresis, rheumatoid factor, transglutaminase IgA antibodies, urinalysis and uric acid tests requested was collected. The number of test requests per 1000 inhabitants was calculated. In order to explore the variability the coefficient of quartile dispersion was calculated. Results The smallest variation was seen for creatinine, glucose, uric acid and urinalysis; the most requested tests. The tests that were least requested showed the greatest variability. Conclusion Our study shows through a very simplified approach, in a population close to twenty million inhabitants, how in primary care, the variability in the request of laboratory tests is inversely proportional to the request rate.
- Published
- 2015
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