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Article: Evaluation of a new referral system for the management of dyspepsia in Hong Kong: Role of open-access upper endoscopy

TitleEvaluation of a new referral system for the management of dyspepsia in Hong Kong: Role of open-access upper endoscopy
Authors
Issue Date2000
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH
Citation
Journal Of Gastroenterology And Hepatology, 2000, v. 15 n. 11, p. 1251-1256 How to Cite?
AbstractBackground: In the management of dyspepsia, upper endoscopy is an important component. In our locality, patients requiring upper endoscopy are conventionally referred to specialist clinics by family physicians. We have introduced the first open-access upper endoscopy service in Hong Kong, which has allowed family physicians to arrange endoscopy without prior specialist consultation. A study on the outcome of open-access upper endoscopy in contrast with the conventional referral system was conducted. Methods: For patients presenting with dyspepsia, family physicians in our region were given the option to arrange upper endoscopy directly with our Medical Endoscopy Unit in addition to the conventional referral to specialist clinics. The results were compared with those from the specialist clinic. A detailed prospective follow up was performed from June to September 1997 to evaluate the outcome and impact of open-access upper endoscopy. Results: From November 1996 to September 1999, 978 referrals for open-access upper endoscopy were received. The service significantly reduced the waiting time for the procedure by 16 weeks. Open-access upper endoscopy had similar detection rates for peptic ulcers and cancers compared with referrals from specialist clinics. Seventy-five percent of patients did not require further consultation with their family physicians within 2 months after endoscopy. It is a safe and effective procedure in establishing a definitive diagnosis. All family physicians were satisfied with the open-access upper endoscopy service. Conclusions: This is the first Asian report on this service. Open-access upper endoscopy reduced waiting time from the patient perspective, decreased subsequent consultations with family physicians and reduced referral to specialist clinics as well as increased patient and doctor satisfaction. Both referral systems for endoscopy were similar in terms of the diagnostic yield. (C) 2000 Blackwell Science Asia Pty Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/77909
ISSN
2015 Impact Factor: 3.322
2015 SCImago Journal Rankings: 1.190
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, BCYen_HK
dc.contributor.authorChan, CKen_HK
dc.contributor.authorWong, KWen_HK
dc.contributor.authorWong, WMen_HK
dc.contributor.authorYuen, MFen_HK
dc.contributor.authorLai, KCen_HK
dc.contributor.authorHu, WHen_HK
dc.contributor.authorLau, GKen_HK
dc.contributor.authorLai, CLen_HK
dc.contributor.authorLam, SKen_HK
dc.date.accessioned2010-09-06T07:37:05Z-
dc.date.available2010-09-06T07:37:05Z-
dc.date.issued2000en_HK
dc.identifier.citationJournal Of Gastroenterology And Hepatology, 2000, v. 15 n. 11, p. 1251-1256en_HK
dc.identifier.issn0815-9319en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77909-
dc.description.abstractBackground: In the management of dyspepsia, upper endoscopy is an important component. In our locality, patients requiring upper endoscopy are conventionally referred to specialist clinics by family physicians. We have introduced the first open-access upper endoscopy service in Hong Kong, which has allowed family physicians to arrange endoscopy without prior specialist consultation. A study on the outcome of open-access upper endoscopy in contrast with the conventional referral system was conducted. Methods: For patients presenting with dyspepsia, family physicians in our region were given the option to arrange upper endoscopy directly with our Medical Endoscopy Unit in addition to the conventional referral to specialist clinics. The results were compared with those from the specialist clinic. A detailed prospective follow up was performed from June to September 1997 to evaluate the outcome and impact of open-access upper endoscopy. Results: From November 1996 to September 1999, 978 referrals for open-access upper endoscopy were received. The service significantly reduced the waiting time for the procedure by 16 weeks. Open-access upper endoscopy had similar detection rates for peptic ulcers and cancers compared with referrals from specialist clinics. Seventy-five percent of patients did not require further consultation with their family physicians within 2 months after endoscopy. It is a safe and effective procedure in establishing a definitive diagnosis. All family physicians were satisfied with the open-access upper endoscopy service. Conclusions: This is the first Asian report on this service. Open-access upper endoscopy reduced waiting time from the patient perspective, decreased subsequent consultations with family physicians and reduced referral to specialist clinics as well as increased patient and doctor satisfaction. Both referral systems for endoscopy were similar in terms of the diagnostic yield. (C) 2000 Blackwell Science Asia Pty Ltd.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGHen_HK
dc.relation.ispartofJournal of Gastroenterology and Hepatologyen_HK
dc.subject.meshAmbulatory Care Facilities - utilizationen_HK
dc.subject.meshDyspepsia - diagnosisen_HK
dc.subject.meshEndoscopy, Gastrointestinal - utilizationen_HK
dc.subject.meshFamily Practice - organization & administrationen_HK
dc.subject.meshGastrointestinal Neoplasms - diagnosisen_HK
dc.subject.meshHealth Services Accessibility - organization & administrationen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshOutcome and Process Assessment (Health Care)en_HK
dc.subject.meshReferral and Consultation - organization & administrationen_HK
dc.subject.meshWaiting Listsen_HK
dc.titleEvaluation of a new referral system for the management of dyspepsia in Hong Kong: Role of open-access upper endoscopyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0815-9319&volume=15&issue=11&spage=1251&epage=1256&date=2000&atitle=Evaluation+of+a+new+referral+system+for+the+management+of+dyspepsia+in+Hong+Kong:+role+of+open-access+upper+endoscopy.en_HK
dc.identifier.emailWong, BCY:bcywong@hku.hken_HK
dc.identifier.emailYuen, MF:mfyuen@hkucc.hku.hken_HK
dc.identifier.emailLai, CL:hrmelcl@hku.hken_HK
dc.identifier.authorityWong, BCY=rp00429en_HK
dc.identifier.authorityYuen, MF=rp00479en_HK
dc.identifier.authorityLai, CL=rp00314en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1440-1746.2000.02353.xen_HK
dc.identifier.pmid11129217-
dc.identifier.scopuseid_2-s2.0-20244388481en_HK
dc.identifier.hkuros63869en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-20244388481&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume15en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1251en_HK
dc.identifier.epage1256en_HK
dc.identifier.isiWOS:000165993800005-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridWong, BCY=7402023340en_HK
dc.identifier.scopusauthoridChan, CK=7404813960en_HK
dc.identifier.scopusauthoridWong, KW=35118458300en_HK
dc.identifier.scopusauthoridWong, WM=7403972413en_HK
dc.identifier.scopusauthoridYuen, MF=7102031955en_HK
dc.identifier.scopusauthoridLai, KC=7402135595en_HK
dc.identifier.scopusauthoridHu, WH=25932937100en_HK
dc.identifier.scopusauthoridLau, GK=7102301257en_HK
dc.identifier.scopusauthoridLai, CL=7403086396en_HK
dc.identifier.scopusauthoridLam, SK=7402279473en_HK

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