Integrated Analysis of Quality Use of Pathology Program (qupp) Final Reports



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Common Sense Pathology (2006)

Description


Common Sense Pathology (CSP) was a publication series produced primarily to assist GPs in determining appropriate pathology tests. It ran for six editions, comprised a separately bound eight-page A4 supplement with graphic artwork and/or photos appropriate to the topic and was included in the Australian Doctor magazine. All editions were posted on the Royal College of Pathologists of Australasia (RCPA) website within one month of publication.

Grant Recipient


RCPA

Aim


  • to improve rational and cost-effective utilisation of pathology tests.


It is not clear if this aim was achieved although general practitioners (GPs), other doctors and medical students indicated the CSP articles were a valuable source of information.

Outcomes





EDITION

ARTICLE

AUTHOR/S

7 April 2006

Malabsorption

Dr Danny Stiel and Dr Paul O’Farrell

2 June 2006

Viral Hepatitis

Prof Yvonne Cossart

7 July 2006

Micro Urine

Prof Syd Bell and Dr Alex Outhred

4 August 2006

Genital Infection

Dr Andrew Daley and Dr Suzanne Garland

1 September 2006

Lipids

Dr David Sullivan and Dr David Tognarini

3 November 2006

Iron Studies

Dr Alan R McNeil and Emeritus Prof Jack Metz




  • CSP articles on the RCPA website received 340 ‘hits’ by the end of December 2006.

  • The RCPA covered all its administrative costs, and the authors of the CSP articles were not paid, and nor was the CSP Editor, as these roles were honorary.

Findings


  • An Australian Doctor general reader survey found that CSP was a valuable source of information for GPs.

  • Pathologists were keen to contribute to the publication as authors as they considered it to be an effective communication tool, were helping GPs and involving them in the pathology process.

  • CSP helps prevent unnecessary testing resulting in cost savings and avoidance of invasive tests that are not warranted.

  • CSP promotes good patient care and cost effective patient management by helping to prevent potential misdiagnoses that may occur by omitting important tests.

  • CSP saves costs of health care as management can be instigated at an earlier stage of disease.

Recommendation


  1. Dr Matthew Meerkin, RCPA CSP Editor, suggested that a compilation of the last 24 issues would be a useful addition to the library of GPs, pathologists and medical students.

Key Project Learnings


  • As the pathologists writing the articles donated their time, the issue of time lines was managed by:

    • securing an author’s agreement to write the articles well in advance wherever possible

    • providing regular reminders for deadlines

    • shortening deadlines for delivery of articles to the RCPA to allow for unforeseen delays.

  • To ensure the tone was appropriate for the intended audience:

    • authors were asked in their letter of invitation to write at a level which will educate GPs with explanatory guidelines provided

    • the RCPA CSP Editor sometimes requested sending the article to a GP with an interest in the specific topic before publication to test its effectiveness.

  • Difficulties with early articles exceeding the word limit imposed by the publisher did not recur, and these limits were clearly defined in correspondence to prospective authors. Time was also built into deadlines to enable articles that were too long to be revised.

Follow on Initiatives and Projects


Common Sense Pathology Publication Series (2011).

Common Sense Pathology Publication Series (2011)

Description


The Common Sense Pathology (CSP) publication series for general practitioners (GPs) highlights areas that are topical or problematic in diagnosis or management. The topics are chosen after consideration of feedback from Australian Doctor magazine research about topics of interest, as well as via feedback from pathologists about areas of their pathology specialty that appear to be confusing, controversial or frequently misunderstood by GPs.
CSP was delivered with Australian Doctor magazine to 21,000 recipients (which essentially encompassed every practicing GP in Australia). All 2010/11 editions were posted on the Royal College of Pathologists of Australasia (RCPA) website within one month of publication. Issues dating back to 2002 were also available on the Australian Doctor website .

Grant Recipient


RCPA

Aims and Objectives


  • to produce a series of articles on areas that are topical or known to be problematic when it comes to diagnosis and management by GPs

  • to provide practical, relevant information about appropriate pathology ordering for GPs.

These aims and objectives were achieved by this project.


Outcomes





NUMBER

EDITION

ARTICLE

AUTHOR/S

1

29 October 2010

Tired All the Time

Dr Steve Flecknoe-Brown

2

18 February 2011

Genetic Investigation of Children

Dr Sui Yu & Dr Nicola Poplawski

3

1 April 2011

Vitamin D

Dr Margaret Janu

4

3 June 2011

Coeliac Disease

Dr David Gillis

Findings


  • Australian Doctors’ own research has shown that clinical information is the most popular area of the publication with research suggesting over 85% of all GPs are reading sections entirely focused on clinical topics.

  • Reed Publishing advised they believe CSP served as a useful adjunct to the promotion of appropriate ordering, interpretation and follow-up of pathology testing by Australian GPs.



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