An integrated care pathway for menorrhagia across the primary-secondary interface: Patients' experience, clinical outcomes, and service utilisation

Quality and Safety in Health Care

Volumn 16, Issue 2, 2007, Pages 110-115

  Julian, Sophia ^a   Naftalin, Nicholas J ^b   Clark, Michael ^c   Szczepura, Ala ^c   Rashid, Aly ^d   Baker, Richard ^a   Taub, Nicholas ^a   Habiba, Marwan ^a  

^a UNIVERSITY OF LEICESTER   (United Kingdom)

^b UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST   (United Kingdom)

^c UNIVERSITY OF WARWICK   (United Kingdom)

^d DE MONTFORT UNIVERSITY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONSULTATION; CONTROLLED STUDY; FEMALE; FOLLOW UP; GENERAL PRACTICE; HEALTH CARE ACCESS; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HUMAN; MAJOR CLINICAL STUDY; MENORRHAGIA; PATIENT REFERRAL; PRIMARY MEDICAL CARE; QUESTIONNAIRE; TEACHING HOSPITAL; TREATMENT OUTCOME;

CHI-SQUARE DISTRIBUTION; CRITICAL PATHWAYS; DELIVERY OF HEALTH CARE, INTEGRATED; FEMALE; GREAT BRITAIN; HEALTH SERVICES ACCESSIBILITY; HUMANS; MENORRHAGIA; MODELS, ORGANIZATIONAL; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PRIMARY HEALTH CARE; PROSPECTIVE STUDIES; QUALITY ASSURANCE, HEALTH CARE; REFERRAL AND CONSULTATION; STATISTICS, NONPARAMETRIC;

EID: 34247108604     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2005.016782     Document Type: Article

References (24)

1. Reynolds GA, Chitnis JG, Roland MO. General practitioners outpatient referral - do good doctors refer more patients to hospital? BMJ 1991;302:1250-2.
2. Coulter A, Seagroatt V, McPherson K. Relation between general practices outpatient referral rates and elective admission to hospital. BMJ 1990;301:273-6.
3. Coulter A, Peto V, Doll H. Influence of sex of general practitioner on management of menorrhagia. Br J Gen Pract 1995;45:471-5.
4. Waghorn A, McKee M, Thompson J. Surgical outpatients: challenges and responses. Br J Surg 1997;84:300-7.
5. Coulter A, Noone A, Goldacre M. General practitioners referrals to specialist outpatient clinics. BMJ 1988;299:304-8.
6. Department of Health. The NHS plan: a plan for investment, a plan for reform. London: DH, 2000.
7. Edwards N, Austin J. Modernising outpatients - developing effective services. London: The NHS Confederation, 2001.
8. Department of Health. Practitioners with special interests: bringing services closer to patients. London: DH, 2003.
9. Campbell H, Hotchkiss R, Bradshaw N, et al. Integrated care pathways. BMJ 1989;316:133-7.
10. Royal College of Obstetricians and Gynaecologists. The initial management of menorrhagia. London: RCOG Press, 1998, (Evidence-based clinical guideline No1.).
11. Royal College of Obstetricians and Gynaecologists. The management of menorrhagia in secondary care. London: RCOG Press, 1999, (Evidence-based clinical guideline No 5.).
12. Abu JI, Habiba MA, Baker R, et al. Quantitative and qualitative assessment of women's experience of a one-stop menstrual clinic in comparison with traditional gynaecology clinics. BJOG 2001;108:993-9.
13. Baker R, Preston C, Cheater F, et al. Measuring patients' attitudes to care across the primary/secondary interface: the development of the patient career diary. Qual Health Care 1999;8:154-60.
14. Jenkinson C, Stewart-Brown S, Petersen S, et al. Assessment of the SF-36 version 2 in the United Kingdom. J Epidemiol Community Health 1999;53:46-50.
15. Garratt AM, Ruta DA, Abdalla MI, et al. SF 36 nealth survey questionnaire: II. Responsiveness to changes in health status in four common clinical conditions. Qual Health Care 1994;3:186-92.
16. Shaw RW, Brickley MR, Evans L, et al. Perceptions of women on the impact of menorrhagia on their health using multi-attribute utility assessment. Br J Obstet Gynaecol 1998;105:1155-9.
17. Fender GRK, Prentice A, Gorst T, et al. Randomized controlled trial of educational package on management of menorrhagia in primary care: the Anglia menorrhagia education study. BMJ 1999;318:1246- 50.
18. Fender GR, Prentice A, Nixon RM, et al. Management of menorrhagia: an audit of practices in the Anglia menorrhagia education study. BMJ 2001;322:523-4.
19. Thomas RE, Grimshaw JM, Mollison J, et al. Cluster randomized trial of a guideline-based open access urological investigation service. Fam Pract 2003;20:646-54.
20. Morrison J, Carroll L, Twaddle S, et al. Pragmatic randomised controlled trial to evaluate guidelines for the management of infertility across the primary care-secondary care interface. BMJ 2001;322:1282-4.
21. Department of Health. Creating a patient led NHS, delivering the NHS improvement plan. London: DH, 2005.
22. Department of Health. Practice based commissioning; engaging practices in commissioning. London: DH, 2004.
23. Department of Health. Reforming NHS financial Hows: introducing payment by results. London: DH, 2002.
24. Department of Health, Royal College of General Practitioners. Implementing a scheme for general practitioners with special interests. London: DH, 2002.