Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy

  • Ray B. Jones | ray.jones@plymouth.ac.uk School of Nursing and Midwifery, Faculty of Health and Human Sciences, Plymouth University, United Kingdom.
  • Emily J. Ashurst School of Nursing and Midwifery, Faculty of Health and Human Sciences, Plymouth University, United Kingdom.
  • Dafydd Jones Northern, Eastern and Western Devon Clinical Commissioning Group, Devon; Tamar Referral and Appointments Centre, Devon, United Kingdom.
  • Roland Gude Sentinel Healthcare SW CiC, Plymouth, United Kingdom.
  • Edward Kaminski Peninsula Allergy Service, Derriford Hospital, Plymouth, United Kingdom.

Abstract

Many patients with suspected allergy are referred to specialist care inappropriately. We aimed to develop and implement an online decision pathway to aid General Practitioners’ (GPs) management decisions in suspected allergy. Our study involved 1487 GPs, 3 referral management centres, 5 GP system suppliers, 4 primary care trusts, and 1 specialist allergy clinic. The pathway was implemented by 3/5 GP system suppliers, published to Map of Medicine and on a specialist clinic website. In the first year, the pathway ranked in the top 10/160 local care maps accessed via Map of Medicine and was viewed 900 times. Only 96 GPs registered to use the clinic website. Only 110 (7%) GPs responded to the feedback request, of which 13/110 (12%) had used the pathway; nearly all thought it useful. It was used by referral management centres as explanation of rejected referrals. Alternative approaches to embed its use are required.

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Published
2014-07-01
Section
Brief Reports
Keywords:
allergy, referral, decision support, primary-secondary care interface
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How to Cite
Jones, R., Ashurst, E., Jones, D., Gude, R., & Kaminski, E. (2014). Development and implementation of a decision pathway for general practitioners for the management or referral of suspected allergy. Journal of Public Health Research, 3(2). https://doi.org/10.4081/jphr.2014.248