Chapter 13. Improving Test Ordering and its Diagnostic Cost-Effectiveness in Clinical Practice—Bridging the Gap between Clinical Research and Routine Health Care

  1. J. André Knottnerus MD, PhD Professor of General Practice President8,9 and
  2. Frank Buntinx MD, PhD Professor10,11,12
  1. Ron Winkens General Practitioner Associate Professor Medical Co-ordinator1,
  2. Trudy van der Weijden PhD, MD Associate Professor2,
  3. Hans Severens Professor of Medical Technology Assessment Caphri3,4,5 and
  4. Geert-Jan Dinant MD, PhD Professor6,7

Published Online: 2 FEB 2009

DOI: 10.1002/9781444300574.ch13

The Evidence Base of Clinical Diagnosis: Theory and methods of diagnostic research, Second Edition

The Evidence Base of Clinical Diagnosis: Theory and methods of diagnostic research, Second Edition

How to Cite

Winkens, R., van der Weijden, T., Severens, H. and Dinant, G.-J. (2008) Improving Test Ordering and its Diagnostic Cost-Effectiveness in Clinical Practice—Bridging the Gap between Clinical Research and Routine Health Care, in The Evidence Base of Clinical Diagnosis: Theory and methods of diagnostic research, Second Edition (eds J. A. Knottnerus and F. Buntinx), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444300574.ch13

Editor Information

  1. 8

    Netherlands School of Primary Care Research, Maastricht University, The Hague, The Netherlands

  2. 9

    The Health Council of The Netherlands, The Hague, The Netherlands

  3. 10

    Department of General Practice, Catholic University Leuven, Belgium

  4. 11

    Netherlands School of Primary Care Research, Maastricht University, Maastricht, The Netherlands

  5. 12

    Department of General Practice, Maastricht University, Maastricht, The Netherlands

Author Information

  1. 1

    University Medical Centre Maastricht and School for Public Health and Primary Care (Caphri), Maastricht University, Maastricht, The Netherlands

  2. 2

    Department of General Practice, School for Public Health and Primary Care (Caphri), Maastricht, The Netherlands

  3. 3

    Maastricht University, The Netherlands

  4. 4

    Department of Health Organization Policy and Economics Maastricht, University Hospital Maastricht, The Netherlands

  5. 5

    Department of Clinical Epidemiology MTA, Maastricht, The Netherlands

  6. 6

    Clinical Research in General Practice, Maastricht University, Maastricht, The Netherlands

  7. 7

    School for Public Health and Primary Care (Caphri), Maastricht University, Maastricht, The Netherlands

Publication History

  1. Published Online: 2 FEB 2009
  2. Published Print: 10 OCT 2008

ISBN Information

Print ISBN: 9781405157872

Online ISBN: 9781444300574

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Keywords:

  • improving test ordering;
  • diagnosis and using diagnostic tests;
  • guidelines on rational use of diagnostic tests;
  • barriers for adherence to guidelines;
  • change test-ordering behavior;
  • guideline development and implementation;
  • implementation strategies and cost-effectiveness of intervention strategies;
  • computer reminders - currently promising

Summary

This chapter contains sections titled:

  • Introduction

  • The need to change

  • Factors influencing test ordering

  • Can we make the change?

  • Guideline development and implementation

  • Is a change feasible?

  • References