Drivers and strategies for avoiding overuse. A cross-sectional study to explore the experience of Spanish primary care providers handling uncertainty and patients' requests.

ABSTRACT:

Objectives

Identify the sources of overuse from the point of view of the Spanish primary care professionals, and analyse the frequency of overuse due to pressure from patients in addition to the responses when professionals face these demands.

Design

A cross-sectional study.

Setting

Primary care in Spain.

Participants

A non-randomised sample of 2201 providers (general practitioners, paediatricians and nurses) was recruited during the survey.

Primary and secondary outcome measures

The frequency, causes and responsibility for overuse, the frequency that patients demand unnecessary tests or procedures, the profile of the most demanding patients, and arguments for dissuading the patient.

Results

In all, 936 general practitioners, 682 paediatricians an

SUBMITTER: Mira JJ 

PROVIDER: S-EPMC6009548 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature