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Decision-oriented test request forms. A system for implementing practice parameters in laboratory medicine.

C E Speicher1

  • 1College of Medicine, Ohio State University, Columbus.

Clinics in Laboratory Medicine
|March 1, 1991
PubMed
Summary
This summary is machine-generated.

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Implementing practice parameters in laboratory medicine is difficult. Decision-oriented test request forms may improve physician test ordering behavior, unlike past educational or financial strategies.

Area of Science:

  • Clinical Pathology
  • Laboratory Medicine
  • Healthcare Management

Background:

  • Physician behavior change is crucial for effective practice parameter implementation in laboratory medicine.
  • Traditional methods like education and financial incentives have shown limited success in optimizing laboratory test utilization.

Purpose of the Study:

  • To identify effective strategies for improving physician test ordering practices.
  • To evaluate the potential of decision-oriented test request forms in enhancing laboratory test use.

Main Methods:

  • Review of existing literature on physician behavior change interventions in laboratory medicine.
  • Analysis of the efficacy of various strategies including education, test restrictions, financial incentives, and chart reviews.
  • Proposal of decision-oriented test request forms as a novel approach.

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Main Results:

  • Past interventions (education, financial incentives, chart reviews) have not significantly altered physician behavior regarding laboratory test ordering.
  • A gap exists in effective strategies for optimizing laboratory test utilization through physician practice changes.

Conclusions:

  • Standard interventions are insufficient for improving physician use of laboratory tests.
  • Decision-oriented test request forms present a promising strategy for enhancing laboratory test ordering practices and implementing practice parameters.