Factors affecting point-of-care ultrasound implementation in general practice: A survey in Danish primary care clinics
Permanent link
https://hdl.handle.net/10037/31898Date
2023-10-17Type
Journal articleTidsskriftartikkel
Peer reviewed
Author
Andersen, Camilla Aakjær; Brodersen, John Brandt; Graumann, Ole; Davidsen, Annette Sofie; Jensen, Martin BachAbstract
Design An online survey was distributed in June 2019.
Setting General practice. Participants GPs working in office-based primary care clinics in Denmark.
Main outcome measures The questionnaire was developed using mixed methods and included questions about participants’ characteristics, past POCUS training and experience, capability, opportunity and motivation for using POCUS in the primary care setting. Results were summarised using descriptive statistics. Association between GPs’ background characteristics and POCUS use was tested using logistics regression.
Results Responses were analysed from 1216 questionnaires corresponding to 36.4% of all GPs in Denmark. The majority (72.3%) of participants had previous POCUS experience, 14.7% had access to a POCUS device and 11.5% used POCUS. Several factors motivated participants to use POCUS. However, barriers existed such as lack of remuneration and high workload. Additionally, many GPs questioned their ability to scan with sufficient diagnostic accuracy and the impact of POCUS on the consultation. Of non-users, 28.7% believed they would be using POCUS in the future.
Conclusion Although, the majority of GPs had past experience with POCUS and felt motivated to use it, few had implemented POCUS. Several factors influenced the GPs’ capability, opportunity and motivation for using POCUS and several concerns were registered by nonusers.