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 emphasise that your replies will be treated in the strictest of confidence. We have included a questionnaire number above purely to enable us to attach your demographic characteristics (age, gender, state of practice and VR status) to avoid asking these questions. We thank you for completing this questionnaire. A reply paid envelope is included for return of your questionnaire and we would appreciate its return by Wednesday 15th July 2001. 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 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 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 Q2 What was your predominant practice setting in 1997? (Tick one) 1 _____ 2 _______ 3 _______ 4 _______ 5 _______ 6 _______ 7 _______ 8 _______ 9 _____ Public Hospital Private Hospital Not in Practice General Practice 1 2 3 4 Q3 What is the typical total hours you spend per week providing medical services across all practice settings? Q4 Is your practice computerised? No Yes Q5 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 Part 2 Used Permanent Record 1 2 1 2 3 3 4 4 5 5 Awareness and Dissemination of Manual This part seeks to understand your awareness of the Manual and from where you obtained it. Q6 Were you aware of the Manual prior to receiving this questionnaire? (Tick one) No Yes If no go to Question 11 Q7 Royal College of Pathologists1 Did you receive the Manual in 1997 from … ? (Note: The Royal College of Pathologists of Australasia 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) Colleague or Medical practice2 Lecturer/Education institution3 Professional College4 Self purchased5 Don’t Recall6 Didn’t Receive in 19977 Other (Please Specify _______________)8 Q8 If you did not receive the Manual in 1997, approximately what year did you get the Manual? Q9 Do you still have a Manual easily accessible in your practice? (Tick one) No Yes If no go to Question 11 Q10 In what form is the Manual? (Tick one) Electronic/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. Q11 How many patients do you see in a typical week? (Tick one) Under 50 (Note: a reasonable estimate only) 50 – 75 75 – 100 100 – 125 125 – 150 Over 150 1 2 3 4 5 6 Q12 About how many pathology request forms do you complete each week? 2 Yes Q13 Do you, or have you, ever consulted the Manual? (Tick one) No If no go to Question 21 Q14 When ordering pathology tests, what are the factors that influence whether or not you use the Manual? (Tick all appropriate responses) Not current 1 Wrong medium Have better sources Not easily accessible Was not aware of Manual Information is relevant Good format Right medium Best source available Readily accessible Other (Please Specify ________________) Poor format 2 3 4 5 6 7 8 9 10 11 12 Q15 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 1 2 3 4 5 Q16 Over the last twelve months when ordering pathology tests, how often have you consulted the Manual? (Tick one) Very often (daily) 1 Often (weekly) Sometimes (monthly) Rarely (about once in each 3 month period) Very rarely (once or twice in last 12 months) Never 1 2 3 4 5 Q17 For the pathology tests you have ordered over the last twelve months, how often did the Manual impact on your intended test profile? (Tick one) All of the time (100%) 1 Most of the time (50-99%) Some of the time (25-49%) Occasionally (10-24%) Very little (1-9%) None/Never used Manual 1 2 3 4 5 Q18 For those pathology requests where you consult the Manual, how would you describe the influence of the Manual? (Circle the appropriate frequency for each response) Guidance on test profile and frequency Provided better understanding of tests Resulted in different tests Helped in interpretation of results Used as a general reference Did not provide information needed Other (Please Specify _______________) Very Often Often Occasionally Never 1 1 1 1 1 1 1 2 2 2 2 2 2 2 3 3 3 3 3 3 3 4 4 4 4 4 4 4 3 Q19 How has using the Manual changed the volume of your requests? (Tick one) Decreased Increased No Change 1 2 3 Q20 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 1 2 2 2 2 2 2 2 3 3 3 3 3 3 3 4 4 4 4 4 4 4 Better interpretation of results Improved accuracy of diagnosis Improved use of time and resources More efficient communication with patients Reduced need for referral to specialist Did not provide information needed Other (Please Specify _______________) Q21 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 ___________________) Part 4 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 Future Directions This part seeks your views on how the Manual should be developed in the future to assist you. Q22 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 Q23 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 Manual should not be produced Other (Please Specify ___________________) 1 2 3 1 2 3 4 5 6 7 8 Q24 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 4 Q25 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 Q26 If you answered yes to Question 25, 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 Q27 Please provide any other comments you may have on the Manual or the resources that you would like to assist in your pathology ordering. ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Q28 Please provide an estimate of the time taken to complete this questionnaire hrs mins 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 ____________________________________ ____________________________________ ____________________________________ Thank you for your assistance. Please return your questionnaire by Wednesday 15 th July 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