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Related Experiment Videos

Variation in spirometry utilization between trained general practitioners in practices equipped with a spirometer.

Patrick J P Poels1, Tjard R J Schermer, Annelies Jacobs

  • 1Department of General Practice, Radboud University Nijmegen Medical Centre, The Netherlands. p.j.p.poels@haf.umcn.nl

Scandinavian Journal of Primary Health Care
|May 13, 2006
PubMed
Summary
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General practitioners

Area of Science:

  • Pulmonary Medicine
  • General Practice
  • Healthcare Management

Background:

  • Spirometry is crucial for diagnosing and managing respiratory diseases like COPD and asthma.
  • Understanding factors influencing spirometry use in primary care is essential for improving patient outcomes.
  • General practitioners (GPs) play a pivotal role in early detection and management of respiratory conditions.

Purpose of the Study:

  • To investigate the extent of spirometry utilization among general practitioners.
  • To identify practitioner-specific factors associated with spirometry use.
  • To identify practice-related factors influencing spirometry utilization.

Main Methods:

  • Multivariate multilevel cross-sectional analysis of questionnaire data.

Related Experiment Videos

  • Survey involved 144 general practitioners and 179 practice assistants across 61 Dutch general practices.
  • Data collected on spirometry utilization for five guideline indications and associated practitioner/practice factors.

    • Main Results:

    • High response rate (97%) achieved.
    • Spirometry primarily used by GPs for evaluating inhaled steroid treatment (58%).
    • Key factors associated with increased spirometry use included GP job satisfaction, research interest, prior spirometry training, presence of a practice nurse, task delegation to assistants, dedicated spirometry rooms, and use of protocols.

    Conclusions:

    • Both practitioner and practice-level factors significantly influence spirometry utilization.
    • Optimizing practice-level factors, such as increasing practice nurse presence and enhancing delegation to practice assistants, is crucial for improving spirometry use.
    • Targeted interventions addressing these factors can enhance the role of spirometry in primary respiratory care.