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Related Experiment Videos

Variations in cardiac interventions: doctors' practices and views.

Ann Bowling1, Clare Harries, Damien Forrest

  • 1Department of Primary Care and Population Sciences, University College London, Royal Free Campus, London, UK. a.bowling@ucl.ac.uk

Family Practice
|April 14, 2006
PubMed
Summary
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Cardiac intervention referral rates vary by specialty. Poor access to equipment significantly impacts doctors

Area of Science:

  • Cardiology
  • Health Services Research
  • Clinical Decision Making

Background:

  • Referral rates for cardiac interventions vary across clinical specialties.
  • Understanding doctors' decision-making processes is crucial for improving patient care.

Purpose of the Study:

  • To investigate cardiac intervention referral rates by clinical specialty.
  • To document doctors' reasons for referrals and perceived influences on their decisions.

Main Methods:

  • A clinical decision-making exercise with 6093 electronic cardiac patients.
  • Semi-structured interviews with 88 doctors (GPs, geriatricians, cardiologists) were analyzed thematically.

Main Results:

  • Not all eligible patients received recommended investigations or treatments.

Related Experiment Videos

  • Poor access to intervention equipment was a major barrier, increasing thresholds for care.
  • Doctors identified nine key influences on their referral decisions.

    • Conclusions:

    • Current National Health Service (NHS) targets focus on process measures like waiting lists.
    • There is a need for broader quality assurance to address system failures causing variations in clinical decisions and inequitable treatment.