Extent, regional variation and impact of gynecologist payment models in routine pelvic examinations: a nationwide cross-sectional study.

ABSTRACT:

Background

Based on moderate quality evidence, routine pelvic examination is strongly recommended against in asymptomatic women. The aims of this study was to quantify the extent of routine pelvic examinations within specialized health care in Norway, to assess if the use of these services differs across hospital referral regions and to assess if the use of colposcopy and ultrasound differs with gynecologists' payment models.

Methods

Nationwide cross-sectional study including all women aged 18 years and older in Norway in the years 2014-16 (2,038,747). Data was extracted from the Norwegian Patient Registry and Statistics Norway. The main outcome measures were 1. The number of appointments per 1000 women with a primary diagnosis of "Encounter for gynecological examination wit

SUBMITTER: Rosenlund IM 

PROVIDER: S-EPMC5697055 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature