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Related Experiment Videos

Strategies to modify the test-requesting patterns of clinicians.

C G Fraser, F P Woodford

    Annals of Clinical Biochemistry
    |May 1, 1987
    PubMed
    Summary
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    Controlling clinician test-requesting behavior is key. Numerical rationing effectively reduces unnecessary tests, while problem-oriented request forms offer a simple, potentially effective lab-driven strategy for appropriate test ordering.

    Area of Science:

    • Clinical laboratory science
    • Health services research
    • Medical practice management

    Background:

    • Clinicians' test-requesting behavior significantly impacts healthcare costs and resource utilization.
    • Previous studies have explored various interventions to optimize test ordering practices.
    • The effectiveness of these strategies varies, necessitating a review of their impact.

    Purpose of the Study:

    • To review and evaluate the effectiveness of different strategies aimed at influencing clinicians' test-requesting behavior.
    • To identify the most promising approaches for promoting appropriate laboratory test utilization.
    • To assess the potential benefits and limitations of each reviewed strategy.

    Main Methods:

    • Systematic review of studies examining interventions for clinician test-requesting behavior.

    Related Experiment Videos

  • Analysis of strategies including numerical rationing, educational programs, information feedback, financial incentives, clinical budgeting, and policy development.
  • Evaluation of impact on test ordering, patient outcomes, and cost-effectiveness.

    • Main Results:

    • Numerical rationing effectively reduces unnecessary repeat testing without harming patient outcomes.
    • Educational programs with peer review show temporary positive effects.
    • Simple information feedback and direct financial incentives proved ineffectual.
    • Agreed requesting policies and problem-oriented request form redesign show promise for improving test appropriateness.

    Conclusions:

    • While some methods like numerical rationing are effective, others have limited or short-lived impact.
    • Collaborative approaches, such as agreed requesting policies and optimized request forms, appear most promising for sustainable improvements.
    • Further research is needed to validate the long-term effects and cost-effectiveness of promising strategies like problem-oriented request forms.