A wide variation of the quality of colonoscopy reporting system in the real clinical practice in southeastern area of Korea
Intestinal Research
; : 351-357, 2016.
Article
em En
| WPRIM
| ID: wpr-139339
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS: Establishment of a colonoscopy reporting system is a prerequisite to determining and improving quality. This study aimed to investigate colonoscopists' opinions and the actual situation of a colonoscopy reporting system in a clinical practice in southeastern area of Korea and to assess the factors predictive of an inadequate reporting system. METHODS: Physicians who performed colonoscopies in the Daegu-Gyeongbuk province of Korea and were registered with the Korean Society of Gastrointestinal Endoscopy (KSGE) were interviewed via mail about colonoscopy reporting systems using a standardized questionnaire. RESULTS: Of 181 endoscopists invited to participate, 125 responded to the questionnaires (response rate, 69%). Most responders were internists (105/125, 84%) and worked in primary clinics (88/125, 70.4%). Seventy-one specialists (56.8%) held board certifications for endoscopy from the KSGE. A median of 20 colonoscopies (interquartile range, 10–47) was performed per month. Although 88.8% of responders agreed that a colonoscopy reporting system is necessary, only 18.4% (23/125) had achieved the optimal reporting system level recommended by the Quality Assurance Task Group of the National Colorectal Cancer Roundtable. One-third of endoscopists replied that they did not use a reporting document for the main reasons of "too busy" and "inconvenience." Non-endoscopy specialists and primary care centers were independent predictive factors for failure to use a colonoscopy reporting system. CONCLUSIONS: The quality of colonoscopy reporting systems varies widely and is considerably suboptimal in actual clinical practice settings in southeastern Korea, indicating considerable room for quality improvements in this field.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Serviços Postais
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Atenção Primária à Saúde
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Especialização
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Neoplasias Colorretais
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Certificação
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Endoscopia Gastrointestinal
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Colonoscopia
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Endoscopia
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Melhoria de Qualidade
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Coreia (Geográfico)
Tipo de estudo:
Prognostic_studies
País/Região como assunto:
Asia
Idioma:
En
Revista:
Intestinal Research
Ano de publicação:
2016
Tipo de documento:
Article