A compulsory pop-up form reduces the number of vitamin D requests from general practitioners by 25 percent
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A compulsory pop-up form reduces the number of vitamin D requests from general practitioners by 25 percent. / Munk, Jens K.; Bathum, Lise; Jørgensen, Henrik L.; Lind, Bent S.
I: Scandinavian Journal of Primary Health Care, Bind 38, Nr. 3, 2020, s. 308-314.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - A compulsory pop-up form reduces the number of vitamin D requests from general practitioners by 25 percent
AU - Munk, Jens K.
AU - Bathum, Lise
AU - Jørgensen, Henrik L.
AU - Lind, Bent S.
PY - 2020
Y1 - 2020
N2 - Objective: Healthcare costs, including costs for laboratory tests, are increasing worldwide. One example is the measurement of vitamin D. General practitioners in the Capital Region of Denmark include a vitamin D status in approximately 20% of all laboratory requisitions. This study intended to examine the effect of a compulsory pop-up form in the electronic request system on the number of vitamin D tests and to monitor the indications. Design: From 1 January 2017, we introduced a compulsory pop-up form in which the general practitioners had to state the indication for measuring vitamin D, choosing from a predefined set of indications. Intervention practitioners were compared with control practitioners before and after the intervention. Setting: General practices in the Capital Region of Denmark. Subjects: In total, 572 general practitioners and 383,964 patients were included in the period from 1 January 2016 to 31 December 2018. Main outcome measures: Number of vitamin D tests and distribution of indications. Results: We observed a drop in number of vitamin D requisitions to 70% (in 2017) and 75% (in 2018) relative to 2016. During the same period, the number of requisitions increased by 33% in a non-intervention group of practitioners. The indication ‘Monitoring of treatment with vitamin D’ was the most frequently used indication, recorded in 121,475 patients. Conclusion: A compulsory pop-up form reduces the number of vitamin D requests from general practitioners by 25%. The implication is that pop-up forms can be used to decrease healthcare costs.
AB - Objective: Healthcare costs, including costs for laboratory tests, are increasing worldwide. One example is the measurement of vitamin D. General practitioners in the Capital Region of Denmark include a vitamin D status in approximately 20% of all laboratory requisitions. This study intended to examine the effect of a compulsory pop-up form in the electronic request system on the number of vitamin D tests and to monitor the indications. Design: From 1 January 2017, we introduced a compulsory pop-up form in which the general practitioners had to state the indication for measuring vitamin D, choosing from a predefined set of indications. Intervention practitioners were compared with control practitioners before and after the intervention. Setting: General practices in the Capital Region of Denmark. Subjects: In total, 572 general practitioners and 383,964 patients were included in the period from 1 January 2016 to 31 December 2018. Main outcome measures: Number of vitamin D tests and distribution of indications. Results: We observed a drop in number of vitamin D requisitions to 70% (in 2017) and 75% (in 2018) relative to 2016. During the same period, the number of requisitions increased by 33% in a non-intervention group of practitioners. The indication ‘Monitoring of treatment with vitamin D’ was the most frequently used indication, recorded in 121,475 patients. Conclusion: A compulsory pop-up form reduces the number of vitamin D requests from general practitioners by 25%. The implication is that pop-up forms can be used to decrease healthcare costs.
KW - evidence-based interventions
KW - general practitioner
KW - healthcare cost
KW - laboratory testing
KW - Vitamin D
U2 - 10.1080/02813432.2020.1794399
DO - 10.1080/02813432.2020.1794399
M3 - Journal article
C2 - 32686978
AN - SCOPUS:85088316764
VL - 38
SP - 308
EP - 314
JO - Scandinavian Journal of Primary Health Care
JF - Scandinavian Journal of Primary Health Care
SN - 0281-3432
IS - 3
ER -
ID: 251641128