2026-08-29T14:12:20Zhttps://repisalud.isciii.es/rest/oai/request
oai:repisalud.isciii.es:20.500.12105/226702024-11-28T20:36:38Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Andersen, Camilla Aakjaer author Jensen, Martin Bach B author Toftegaard, Berit Skjodeberg author Vedsted, Peter author Harris, Michael author Aubin-Auger, Isabelle author Azuri, Joseph author Brekke, Matte author Buczkowski, Krzysztof author Buono, Nicola author Costiug, Emiliana author Dinant, Geert-Jan author Esteva Cantó, Magdalena author Foreva, Gergana author Babic, Svjetlana Gasparovic author Hoffman, Robert author Jakob, Eva author Koskela, Tuomas author Marzo-Castillejo, Merce author Murchie, Peter author Neves, Ana Luisa author Petek, Davorina author Ster, Marija Petek author Sawicka-Powierza, Jolanta author Schneider, Antonius author Smyrnakis, Emmanouil author Streit, Sven author Thulesius, Hans author Weltermann, Birgitta author Orenas Res Grp 2024-09-10T13:06:57Z 2024-09-10T13:06:57Z 2019-09 Andersen CA, Bach B Jensen M, Toftegaard BS, Vedsted P, Harris M, Aubin-Auger I, et al. Primary care physicians' access to in-house ultrasound examinations across Europe: a questionnaire study. BMJ Open. 2019 Sep;9(9):e030958. 10.1136/bmjopen-2019-030958 2044-6055 BMJ Open http://hdl.handle.net/20.500.13003/17143 31575576 L629500311 2-s2.0-85072848427 https://hdl.handle.net/20.500.12105/22670 497787600329 Objective: The overall objective of this study was to examine the differences in ultrasound availability in primary care across Europe. Design: Cross-sectional study. Setting Primary care. Participants Primary care physicians (PCPs). Primary and secondary outcomes measures The primary aim was to describe the variation in in-house primary care ultrasonography availability across Europe using descriptive statistics. The secondary aim was to explore associations between in-house ultrasonography availability and the characteristics of PCPs and their clinics using a mixed-effects logistic regression model. Results We collected data from 20 European countries. A total of 2086 PCPs participated, varying from 59 to 446 PCPs per country. The median response rate per country was 24.8%. The median (minimum-maximum) percentage of PCPs across Europe with access to in-house abdominal ultrasonography was 15.3% (0.0%-98.1%) and 12.1% (0.0%-30.8%) had access to in-house pelvic ultrasonography with large variations between countries. We found associations between in-house abdominal ultrasonography availability and larger clinics (OR 2.5, 95% CI 1.2 to 4.9) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 2.1, 95% CI 1.1 to 3.8). Corresponding associations were found between in-house pelvic ultrasonography availability and larger clinics (OR 1.9, 95% CI 1.3 to 2.7) and clinics with medical doctors specialised in areas, which traditionally use ultrasonography (OR 3.0, 95% CI 1.8 to 5.1). Additionally, we found a negative association between urban clinics and in-house pelvic ultrasound availability (OR 0.5, 95% CI 0.2 to 0.9). Conclusions: Across Europe, there is a large variation in PCPs' access to in-house ultrasonography and organisational aspects of primary care seem to determine this variation. If evidence continues to support ultrasonography as a front-line point-of-care test, implementation strategies for increasing its availability in primary care are needed. Future research should focus on facilitators and barriers that may affect the implementation process. eng Organisation of health services Primary care Diagnostic radiology Ultrasound Primary care physicians' access to in-house ultrasound examinations across Europe: a questionnaire study research article