Kinderartsen zien meer vraag naar diagnostiek ter geruststelling

Fabienne G Ropers; Leti van Bodegom-Vos; Sophie Rietveld; Patrick M Bossuyt; Edmond H H M Rings; Marij A Hillen

Kinderartsen zien meer vraag naar diagnostiek ter geruststelling

Translated title of the contribution: Paediatricians report an increased demand for diagnostic tests for reassurance

Fabienne G Ropers, Leti van Bodegom-Vos, Sophie Rietveld, Patrick M Bossuyt, Edmond H H M Rings, Marij A Hillen

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVE: Test decisions depend on the context in which health care is delivered. We interviewed paediatricians about perceived societal developments and their influence on diagnostic testing.

DESIGN: Qualitative interview study.

METHODS: Semi-structured in-depth interviews with 20 practicing Dutch paediatricians.

RESULTS: Paediatricians associated societal developments, such as decreased risk acceptance, with perceived pressure from parents to perform tests. They were motivated to restrict unnecessary tests to avoid harming the child.

CONCLUSION: Besides motivation and effort of health care providers, appropriate testing requires system-level actions, such as counteracting a culture of blame and considering societal interests in guideline recommendations.

Translated title of the contribution	Paediatricians report an increased demand for diagnostic tests for reassurance
Original language	Dutch
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	168
Publication status	Published - 13 Feb 2024

Keywords

Child
Diagnostic Tests, Routine
Humans
Motivation
Pediatricians
Practice Patterns, Physicians'
Qualitative Research

Cite this

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title = "Kinderartsen zien meer vraag naar diagnostiek ter geruststelling",

abstract = "OBJECTIVE: Test decisions depend on the context in which health care is delivered. We interviewed paediatricians about perceived societal developments and their influence on diagnostic testing.DESIGN: Qualitative interview study.METHODS: Semi-structured in-depth interviews with 20 practicing Dutch paediatricians.RESULTS: Paediatricians associated societal developments, such as decreased risk acceptance, with perceived pressure from parents to perform tests. They were motivated to restrict unnecessary tests to avoid harming the child.CONCLUSION: Besides motivation and effort of health care providers, appropriate testing requires system-level actions, such as counteracting a culture of blame and considering societal interests in guideline recommendations.",

keywords = "Child, Diagnostic Tests, Routine, Humans, Motivation, Pediatricians, Practice Patterns, Physicians', Qualitative Research",

author = "Ropers, {Fabienne G} and {van Bodegom-Vos}, Leti and Sophie Rietveld and Bossuyt, {Patrick M} and Rings, {Edmond H H M} and Hillen, {Marij A}",

year = "2024",

month = feb,

day = "13",

language = "Dutch",

volume = "168",

journal = "Nederlands Tijdschrift voor Geneeskunde",

issn = "0028-2162",

publisher = "Vereniging Nederlands Tijdschrift voor Geneeskunde",

}

TY - JOUR

T1 - Kinderartsen zien meer vraag naar diagnostiek ter geruststelling

AU - Ropers, Fabienne G

AU - van Bodegom-Vos, Leti

AU - Rietveld, Sophie

AU - Bossuyt, Patrick M

AU - Rings, Edmond H H M

AU - Hillen, Marij A

PY - 2024/2/13

Y1 - 2024/2/13

N2 - OBJECTIVE: Test decisions depend on the context in which health care is delivered. We interviewed paediatricians about perceived societal developments and their influence on diagnostic testing.DESIGN: Qualitative interview study.METHODS: Semi-structured in-depth interviews with 20 practicing Dutch paediatricians.RESULTS: Paediatricians associated societal developments, such as decreased risk acceptance, with perceived pressure from parents to perform tests. They were motivated to restrict unnecessary tests to avoid harming the child.CONCLUSION: Besides motivation and effort of health care providers, appropriate testing requires system-level actions, such as counteracting a culture of blame and considering societal interests in guideline recommendations.

AB - OBJECTIVE: Test decisions depend on the context in which health care is delivered. We interviewed paediatricians about perceived societal developments and their influence on diagnostic testing.DESIGN: Qualitative interview study.METHODS: Semi-structured in-depth interviews with 20 practicing Dutch paediatricians.RESULTS: Paediatricians associated societal developments, such as decreased risk acceptance, with perceived pressure from parents to perform tests. They were motivated to restrict unnecessary tests to avoid harming the child.CONCLUSION: Besides motivation and effort of health care providers, appropriate testing requires system-level actions, such as counteracting a culture of blame and considering societal interests in guideline recommendations.

KW - Child

KW - Diagnostic Tests, Routine

KW - Humans

KW - Motivation

KW - Pediatricians

KW - Practice Patterns, Physicians'

KW - Qualitative Research

M3 - Article

C2 - 38375874

SN - 0028-2162

VL - 168

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

ER -