Impact on Pathology Practice of the Manual of Use and Interpretation of Pathology Tests Survey Questionnaire for General Practitioners The questionnaire seeks feedback on the Manual from your perspective with most questions being multi-choice with scope for entering any other comments. We thank you for completing this questionnaire. Part 1 Your Characteristics This first part records characteristics about you and will enable analysis of the survey results across different demographic groups and practice types. Q1 What is your current age? (Years) Q2 What is your gender? (Tick one) Male Female No Q3 Are you Vocationally Registered? (Tick one) Q4 In what practice setting(s) do you typically provide medical services and what proportion of time is spent in each? (Tick all appropriate settings) % of time 2 - 5 GPs in Practice 6 or more GPs in Practice Public Hospital Private Hospital Nursing Home Community Health Centre Locum Other (Please Specify________________) Sole GP Practice Q5 Yes 1 _____ 2 _______ 3 _______ 4 _______ 5 _______ 6 _______ 7 _______ 8 _______ 9 _____ What is the predominant location in which you practise? (Tick one) Capital City/Metropolitan Rural area with population greater than 25,000 Rural area with population between 5,000 and 25,000 Town with population less than 5,000 Q6 What state do you predominantly practise in? (Tick) Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia 1 2 3 4 1 2 3 4 5 6 7 8 No Q7 Is your practice computerised? Yes Q8 How do you receive pathology results at your practice?(more than one choice may be appropriate) Also indicate the form that you predominantly use to store a permanent record of the results (indicate only one of these in the second column). Hard copy via mail Hard copy via courier Facsimile Computer download/email Download into patient management system Q9 Used Permanent Record 1 2 1 2 3 3 4 4 5 5 At which Medical School did you obtain your Basic Medical Degree?___________________ Q10 In what year did you undertake your Internship? Q11 What is the typical total hours you spend per week providing medical services across all practice settings? Q12 Were you in practice in 1997? (Tick one) Yes No If no go to Question 14 Public Hospital Private Hospital Q13 What was your predominant practice setting in 1997? (Tick one) General Practice Part 2 Awareness and Dissemination of Manual This part seeks to understand your awareness of the Manual and from where you obtained it. Only reasonable estimates are required for the questions that ask for numbers or percentages. Q14 Were you aware of the Manual prior to receiving this questionnaire? (Tick one) No Yes If no go to Question 20 Q15 Did you receive the Manual at the time of national distribution by the Royal College of Pathologists of Australasia in 1997? (Note: The RCPA was responsible for distributing the manual in 1997. If you received the Manual in the post around then, it was most likely sent by the College Yes If yes go to Question 18 No Don’t Recall Q16 Approximately what year did you get the Manual? Q17 Where did you get the Manual? (Tick one) Colleague or medical practice Lecturer/Education institution Professional College Self purchased Don’t Recall Other (Please Specify ______________) 1 2 3 4 4 5 2 No Q18 Do you still have a Manual easily accessible in your practice? (Tick one) Yes If no go to Question 20 Q19 In what form is the Manual? (Tick one) Computer based Other (Please Specify ______________) Book 1 2 Part 3 3 Use and Impact of the Manual We are now seeking to understand how the Manual has influenced your pathology ordering. Please complete this section even if you were not previously aware of the Manual. Q20 How many patients do you see in a typical week? (Tick one) Under 50 50 – 75 (Note: a reasonable estimate only) 75 – 100 100 – 125 125 – 150 Over 150 1 2 3 4 5 6 Q21 About how many pathology request forms do you complete each week? Q22 Do you, or have you, ever consulted the Manual? (Tick one) Yes If yes go to Question 24 No Q23 Why don’t you use the Manual? (Tick all appropriate responses) Not current Poor format Wrong medium Have better sources Not easily accessible Was not aware of Manual Other (Please Specify _________________) 1 2 3 4 5 6 7 Go to Question 32 Q24 When was the last time you consulted the Manual? (Tick one) This week Within the last month 1-6 months ago 6-12 months ago More than 12 months ago Q25 Over the last twelve months, how often have you consulted the Manual? (Tick one) Daily 1 2 3 4 5 Weekly Monthly Quarterly (about once in each 3 month period) Less than quarterly 1 1 2 3 4 3 Q26 For every thousand patients for whom you request/consider requesting pathology, for how many of these would you consult the manual? Q27 On those occasions when you consult the manual, for what % of these would be with the patient present? (Indicate % of your response to Q26.Thus, for example, if you indicated that the manual was consulted for 100 in every 1000 patients in Q26 and the patient was present on about 10 occasions, the response to this question is 10%, ie 10 of 100) _________% Q28 For the pathology requests where you consulted the Manual, what was the impact of consulting the Manual? (Your response to this question should be based on the total requests identified in Q26) Number of Pathology Requests Modified Q29 For those pathology requests where you consult the Manual, how would you describe the influence of the Manual? (Tick all appropriate responses) Guidance on test profile and frequency 1 Provided better understanding of tests Resulted in different tests Helped in interpretation of results Used as a general reference Did not provide information required Other (Please Specify_____________) Q30 How has using the Manual changed the volume of your requests? (Tick one) Decreased Increased No Change 2 3 4 5 6 7 1 2 3 Q31 When you used the Manual, did it result in …? (Circle the number under the appropriate frequency) Very Often Often Occasionally Never 1 1 1 1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 4 4 4 4 4 4 Improved accuracy of diagnosis Improved use of time and resources Reduced need for referral to specialist More efficient communication with patients Did not provide information needed Other (Please Specify _______________) Q32 What other sources of information do you use to inform pathology ordering? (Circle the number under the appropriate frequency) Very Often Colleagues Books/Journals Fact Sheets/Guidelines/Software Internet Commercial/Industry(eg pharmaceutical company) Pathology Providers Other (Please Specify ___________________) 1 1 1 1 1 1 1 Often Occasionally Never 2 2 2 2 2 2 2 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 Part 4 Future Directions This part seeks your views on how the Manual should be developed in the future to assist you. Q33 Which of the following do you have access to in your consulting rooms? (Tick all appropriate responses) Computer with CD-ROM Local Area Network Internet 1 2 3 No Q34 Do you believe that the Manual should continue to be produced? (Tick one) Yes Q35 What do you think is the most appropriate form for the Manual to take? (Tick one) Audio Electronic (CD-ROM, other software) Hard Copy Integrated with Patient Management System Internet Video Other (Please Specify ___________________) 1 2 3 4 5 6 7 Q36 What information sources do you need or would like to assist with your pathology ordering? (More than one response may apply, tick all appropriate responses) Access to peers Existing Manual None Other (Please Specify ___________________) Access to pathology provider 1 2 3 4 5 Q37 Would it be useful to have pathology ordering information and results interpretation incorporated into the pathology reports and/or your practice management software? (ie reference to relevant components of the manual) Pathology Results Yes No Don’t Know Practice Management Software 1 2 3 1 2 3 Q38 If you answered yes to Question 37, would you like …? (Circle the number under the appropriate frequency) Guidance with tests based on signs & symptoms Guidance based on medication patient is receiving Guidance on ordering supplementary tests Guidance on further tests that may not be useful Very Useful Useful 1 1 1 1 2 2 2 2 May Use Won’t Use 3 3 3 3 4 4 4 4 Please provide any other comments you may have on the Manual. ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 5 Part 5 Future Workshops & Respondent Details You may remove this page from the questionnaire and place it in the separate (smaller) envelope. Include the smaller envelope and the questionnaire in the reply paid envelope. This section of the questionnaire will not be linked in any way with your responses. Are you willing to participate in a workshop to further explore the future role for the Manual, or other resources, oriented to informing pathology ordering? (Tick one) Yes No If yes, what is your preferred timeframe? (Tick one) Before 10.00am Lunch Time Afternoon 5.00pm After 7.00pm Other (Please Specify) ___________________ 1 2 3 4 5 6 Your Telephone Contact Number ____________________________________ Name of Respondent ____________________________________ Address ____________________________________ ____________________________________ ____________________________________ Please provide an estimate of the time taken to complete this questionnaire hrs mins Thank you for your assistance. Please return your questionnaire by Wednesday 9th May 2001 in the enclosed Reply Paid envelope. Completed questionnaires may also be faxed on (08) 8150 5599, or mailed to : Project Director Pathology Manual Evaluation Healthcare Management Advisors Reply Paid 10086 ADELAIDE BC SA 5000 6