Implementing guidelines for follow-up after surgery with ventilation tube in the tympanic membrane in Norway: a retrospective study


When clinical guidelines are being changed a strategy is required for implementation. St.

Olavs University Hospital in Norway modified their guidelines for the follow-up care of children after insertion of ventilation tubes (VT) in the tympanic membrane, transferring the controls of the healthiest children to General Practitioners (GPs). This study evaluates the implementation process in the hospital and in general practice by exploring two issues: 1) Whether the hospital discharged the patients they were supposed to and 2) whether the children consulted a GP for follow-up care.

Methods: A retrospective observational study was performed at St.

Olavs University Hospital, Norway and general practice in Mid-Norway. Children under the age of 18 who underwent insertion of VT between Nov 1st 2007 and Dec 31st 2008 (n = 136) were included.

Degree of guideline adherence at the hospital and in general practice was measured.

Results: The hospital adhered to the guidelines in two-thirds (68.5%) of the patients, planning more patients for follow-up by their GP than recommended in the guidelines (25.8% vs. 12.4%).

All except one contacted their GP for control. In total 60% were referred back to specialist health services within two years.

Conclusions: The methods for guideline implementation were successful in securing consultations for follow-up care in general practice.

Lack of guideline adherence in the hospital can partly be explained by the lack of quality of the guideline. Further studies are needed to evaluate the quality of controls done by the GPs in order to consider implications for follow-up after VT surgery.

Author: Bjarne AustadIrene HetlevikVegard BugtenSiri WennbergAnita Helene OlsenAnne-Sofie Helvik
Credits/Source: BMC Ear, Nose and Throat Disorders 2013, 13:2



Published on: 2013-01-08



News Provider: 7thSpace Interactive

Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please make sure to read our disclaimer prior to contacting 7thSpace Interactive. To contact our editors, visit our online helpdesk. If you wish submit your own press release, click here.

Social Bookmarking
RETWEET This! | Digg this! | Post to del.icio.us | Post to Furl | Add to Netscape | Add to Yahoo! | Rojo



Comments

There are no comments available. Be the first to write a comment.


You need to enable Javascript to post a comment.


Custom Search

Username
Password










© 2014 7thSpace Interactive
All Rights Reserved - About | Disclaimer | Helpdesk
There are currently 19416 people browsing 7thSpace (S2)