Effect of Panel Composition on Appropriateness Ratings

Cholecystectomy is performed frequently and for relatively few indications. An all surgical panel agreed on more indications and fewer contraindications for cholecystectomy than a mixed specialty panel but did not approve indications for patients with higher comorbidity. In mixed panels subspecialis...

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Bibliographic Details
Published in:International journal for quality in health care 1994-09, Vol.6 (3), p.251-255
Main Authors: FRASER, GERALD M., PILPEL, DINA, KOSECOFF, JACQUELINE, BROOK, ROBERT H.
Format: Article
Language:English
Subjects:
appropriateness
cholecystectomy
Cholecystectomy - statistics & numerical data
Contraindications
Cross-Cultural Comparison
Endarterectomy, Carotid - statistics & numerical data
Health Services Misuse - statistics & numerical data
Humans
indications
Israel
Medical Staff, Hospital - standards
Panel
Patient Care Team - statistics & numerical data
Practice Guidelines as Topic
Practice Patterns, Physicians' - statistics & numerical data
United Kingdom
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Description
Summary:Cholecystectomy is performed frequently and for relatively few indications. An all surgical panel agreed on more indications and fewer contraindications for cholecystectomy than a mixed specialty panel but did not approve indications for patients with higher comorbidity. In mixed panels subspecialists (gastroenterologists) were more conservative than generalists and surgeons. Similar findings have been shown for carotid endarterectomy. Comparing the results of British and Israeli panels showed variations in rating appropriateness that indicate differences in approach between countries. We conclude that the composition of panels will influence the assessment of appropriateness.
ISSN:1353-4505
1464-3677
DOI:10.1093/intqhc/6.3.251