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‘Diagnostic downshift’: clinical and system consequences of extrapolating secondary care testing tac...

‘Diagnostic downshift’: clinical and system consequences of extrapolating secondary care testing tac...

https://devfeature-collection.sl.nsw.gov.au/record/TN_cdi_proquest_miscellaneous_2539214231

‘Diagnostic downshift’: clinical and system consequences of extrapolating secondary care testing tactics to primary care

About this item

Full title

‘Diagnostic downshift’: clinical and system consequences of extrapolating secondary care testing tactics to primary care

Publisher

England: BMJ Publishing Group Ltd

Journal title

BMJ evidence-based medicine, 2022-06, Vol.27 (3), p.141-148

Language

English

Formats

Publication information

Publisher

England: BMJ Publishing Group Ltd

More information

Scope and Contents

Contents

Numerous drivers push specialist diagnostic approaches down to primary care (‘diagnostic downshift’), intuitively welcomed by clinicians and patients. However, primary care’s different population and processes result in under-recognised, unintended consequences. Testing performs poorer in primary care, with indication creep due to earlier, more und...

Alternative Titles

Full title

‘Diagnostic downshift’: clinical and system consequences of extrapolating secondary care testing tactics to primary care

Authors, Artists and Contributors

Identifiers

Primary Identifiers

Record Identifier

TN_cdi_proquest_miscellaneous_2539214231

Permalink

https://devfeature-collection.sl.nsw.gov.au/record/TN_cdi_proquest_miscellaneous_2539214231

Other Identifiers

ISSN

2515-446X

E-ISSN

2515-4478

DOI

10.1136/bmjebm-2020-111629

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