dc.contributor.author | Eskeland, Sigrun Losada | |
dc.contributor.author | Brunborg, Cathrine | |
dc.contributor.author | Seip, Birgitte Karen Berggreen | |
dc.contributor.author | Wiencke, Kristine | |
dc.contributor.author | Hovde, Øistein | |
dc.contributor.author | Owen, Tanja | |
dc.contributor.author | Skogestad, Erik | |
dc.contributor.author | Huppertz-Hauss, Gert | |
dc.contributor.author | Halvorsen, Fred-Arne | |
dc.contributor.author | Garborg, Kjetil Kjeldstad | |
dc.contributor.author | Aabakken, Lars | |
dc.contributor.author | de Lange, Thomas | |
dc.date.accessioned | 2018-05-04T12:29:49Z | |
dc.date.available | 2018-05-04T12:29:49Z | |
dc.date.created | 2016-11-09T11:13:32Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | BMJ Open. 2016, 6 (10), . | nb_NO |
dc.identifier.issn | 2044-6055 | |
dc.identifier.uri | http://hdl.handle.net/11250/2497209 | |
dc.description.abstract | Abstract Objective To create and validate an objective and reliable score to assess referral quality in gastroenterology. Design An observational multicentre study. Setting and participants 25 gastroenterologists participated in selecting variables for a Thirty Point Score (TPS) for quality assessment of referrals to gastroenterology specialist healthcare for 9 common indications. From May to September 2014, 7 hospitals from the South-Eastern Norway Regional Health Authority participated in collecting and scoring 327 referrals to a gastroenterologist. Main outcome measure Correlation between the TPS and a visual analogue scale (VAS) for referral quality. Results The 327 referrals had an average TPS of 13.2 (range 1–25) and an average VAS of 4.7 (range 0.2–9.5). The reliability of the score was excellent, with an intra-rater intraclass correlation coefficient (ICC) of 0.87 and inter-rater ICC of 0.91. The overall correlation between the TPS and the VAS was moderate (r=0.42), and ranged from fair to substantial for the various indications. Mean agreement was good (ICC=0.47, 95% CI (0.34 to 0.57)), ranging from poor to good. Conclusions The TPS is reliable, objective and shows good agreement with the subjective VAS. The score may be a useful tool for assessing referral quality in gastroenterology, particularly important when evaluating the effect of interventions to improve referral quality. | nb_NO |
dc.description.sponsorship | The PhD student salary was funded by the South-Eastern Norway Health Authority’s research grant (grant agreement number 2008040) and the Norwegian Medical Association grant for quality improvement and patient safety (grant agreement number 14/1689). Researchers were independent of the funder. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.relation.uri | http://bmjopen.bmj.com/content/6/10/e012835.full.pdf+html | |
dc.rights | Navngivelse-Ikkekommersiell 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/deed.no | * |
dc.subject | gastroenterology | nb_NO |
dc.title | First quality score for referral letters in gastroenterology—a validation study | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | publishedVersion | nb_NO |
dc.rights.holder | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http:// creativecommons.org/licenses/by-nc/4.0/ | nb_NO |
dc.source.pagenumber | 7 | nb_NO |
dc.source.volume | 6 | nb_NO |
dc.source.journal | BMJ Open | nb_NO |
dc.source.issue | 10 | nb_NO |
dc.identifier.doi | 10.1136/bmjopen-2016-012835 | |
dc.identifier.cristin | 1398668 | |
cristin.unitcode | 1991,3,0,0 | |
cristin.unitcode | 1991,6,0,0 | |
cristin.unitname | Div Gjøvik | |
cristin.unitname | Div Lillehammer | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |