Education improves colonoscopy appropriateness

被引：30

作者：

Grassini, Mario ^{[1
]}

Verna, Carlo ^{[1
]}

Battaglia, Edda ^{[1
]}

Niola, Paolo ^{[1
]}

Navino, Monica ^{[1
]}

Bassotti, Gabrio ^{[2
]}

机构：

[1] Cardinal Massaja Hosp, Gastroenterol Unit, Asti, Italy

[2] Univ Perugia, Gastroenterol & Hepatol Sect, Dept Clin & Expt Med, I-06100 Perugia, Italy

来源：

GASTROINTESTINAL ENDOSCOPY | 2008年 / 67卷 / 01期

关键词：

D O I：

10.1016/j.gie.2007.05.019

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: Appropriateness in GI endoscopy is critical to face the rising amount of demands. Education of physicians has been advocated to reduce the level of inappropriateness. Objective: Our purpose was to assess the effectiveness of an educational program in determining a reduction of inappropriate colonoscopies in an open access system. Design: Prospective study. Setting: A single endoscopy unit in Italy. Patients: A total of 495 consecutive outpatients referred to our endoscopy unit by family physicians for diagnostic colonoscopy before the educational course and 522 after its completion, for a total of 1017 patients. Main Outcome Measurements: Inappropriate colonoscopy reduction rates, cost savings, and reduction of waiting lists were evaluated. Results: With regard to inappropriate colonoscopies, the post-course group rate of inappropriateness was significantly lower than that of the pre-course group (P <= .001). The economic savings for I year was estimated to be (sic)19,000. The reduction of the waiting list was about 15% of the original value. Conclusions: Education has a high incidence in reducing inappropriate colonoscopies in an open-access system determining reduction of costs and waiting lists.

引用

页码：88 / 93

页数：6

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