CDC Survey of Physician Practices in Laboratory Test Ordering and Result Interpretation
Final Web Instrument Modifications
October 17, 2011
Original Q# (Screen#) |
New Q# (Screen#) |
Description of Modification |
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Entry Screen |
Add the following in the upper right corner:
Form Approved OMB No. 0920-0893 Exp. Date 07/24/2012 |
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Change Your answers will be kept confidential to:
Your answers will be kept secure |
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Add the following text:
Public reporting burden of this collection of information is estimated to average 14 hours/minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0893). |
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“PLEASE NOTE” Screen |
Delete:
This research project focuses on clinical laboratory testing for diagnostic purposes. |
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Move to directly under PLEASE NOTE:
When answering the following questions, please think only about clinical laboratory testing for diagnostic purposes. |
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Change for monitoring drug utilization to:
for monitoring drug levels |
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Add underlining as follows:
When we refer to laboratory tests, we are not referring to tissue pathology, imaging testing for screening purposes, for monitoring chronic disease, or for monitoring drug levels. |
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Original Q# (Screen#) |
New Q# (Screen#) |
Description of Modification |
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Q1 (Screen 1 of 6) |
Q1 (Screen 1 of 4) |
Add underlining to question text as follows:
Approximately how many patients do you personally see in a typical week? |
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Q1 (Screen 2 of 6) |
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Delete:
You indicated that, in a typical week, you personally see XX patients. Is this correct? |
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Q1 (Screen 3 of 6) |
Q1 (Screen 2 of 4) |
Change question to:
Of the XX patients you see in a typical week, for approximately how many patients do you order diagnostic clinical laboratory tests for a complaint? (NOT including patients for whom you order only screening tests, tests for chronic disease monitoring, or drug level monitoring)? |
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Q1 (Screen 4 of 6) |
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Delete:
Of the XX patients for whom you order diagnostic tests for a new complaint, for how many patients are these clinical laboratory tests? |
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Q1 (Screen 5 of 6) |
Q1 (Screen 3 of 4) |
Change instruction to:
Choose ONE timeframe below. |
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Change wording of 3 sub-questions to:
Patients per week for whom you are uncertain: Patients per month for whom you are uncertain: Patients per year for whom you are uncertain: |
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Original Q# (Screen#) |
New Q# (Screen#) |
Description of Modification |
Q1 (Screen 6 of 6) |
Q1 (Screen 4 of 4) |
Change question to:
Sometimes after receiving results of diagnostic laboratory tests, physicians are uncertain how to interpret and use the results. For approximately how many patients per week, month, or year are you uncertain how to interpret and use clinical laboratory test results? |
Change instruction to:
Choose ONE timeframe below. |
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Change wording of 3 sub-questions to:
Patients per week for whom you are uncertain: Patients per month for whom you are uncertain: Patients per year for whom you are uncertain: |
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Q2 (Screen 1 of 2) |
Q2 (Screen 1 of 2) |
Change the second sub-question to:
Ask a specialist for advice without referring the patient (curbside consult) |
Q3 (Screen 1 of 2) |
Q3 (Screen 1 of 2) |
Change the second sub-question to:
Ask a specialist for advice without referring the patient (curbside consult) |
Original Q# (Screen#) |
New Q# (Screen#) |
Description of Modification |
Q4 (both screens and other-specify) |
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Delete this question and the associated other-specify screen:
In a diagnostic situation, physicians first make the decision to order tests and then they select which tests to order. How important are the following factors in your decision to order diagnostic clinical laboratory tests, before making specific test selections? |
Q7 (Screen 1 or 2) |
Q6 (Screen 1 or 2) |
Change first sub-question to:
Different names among laboratories for the same test |
Change second sub-question to:
Different tests included in test panels with the same name |
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Q7 (Screen 2 of 2) |
Q6 (Screen 2 of 2) |
Change third sub-question to:
Insurance policies that limit test usage |
Q8 (Screen 1 of 2) |
Q7 (Screen 1 of 2) |
Change fifth sub-question to:
Follow-up and reassess patient |
Q8 (Screen 2 of 2) |
Q7 (Screen 2 of 2) |
Delete seventh sub-question:
Reconsider the appropriateness of the original test(s) ordered |
Q9 (Screen 1 of 2) |
Q8 (Screen 1 of 2) |
Change fifth sub-question to:
Follow-up and reassess patient |
Q9 (Screen 2 of 2) |
Q8 (Screen 2 of 2) |
Delete seventh sub-question:
Reconsider the appropriateness of the original test(s) ordered |
Original Q# (Screen#) |
New Q# (Screen#) |
Description of Modification |
Q10 (both screens and other-specify) |
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Delete this question:
Thinking about potential challenges in interpreting laboratory test results, please indicate how often each of the following is problematic. |
Q11 (both screens) |
Q9 (both screens) |
Beginning phrase added due to deletion of previous Q10. Question now reads:
Thinking about potential challenges in using laboratory test results, please rate how problematic (frequency and/or severity) each of the following is. |
Q11 (Screen 2 of 2) |
Q9 (Screen 2 of 2) |
Due to deletion of original Q10, fifth sub-question will change to:
Additional challenge, if applicable. |
Q11 (Other-specify Screen) |
Q9 (Other-specify Screen) |
Add Other-specify screen with the following text to be presented as appropriate:
Please specify another challenge in using laboratory test results. |
Q12 (Screen 1 of 2) Q13 (Screen 1
of 2) |
Q10 (Screen 1 of 2) Q11 (Screen 1
of 2) |
Change the wording of the last two sub-questions on each of these screens to:
Physician directly orders test(s) in computer, which provides electronic suggestions for other appropriate test(s)
Physician directly orders test(s) in computer, which does not provide electronic suggestions for other appropriate test(s) |
Q12 (Screen 2 of
2) |
Q10 (Screen 2 of
2) |
Change third sub-question to:
Dedicated laboratory phone line for questions |
Q17 (Screen 1 of 1) |
Q15 (Screen 1 of 1) |
Delete third sub-question:
Do not know if the laboratory has a person who can answer my questions |
Original Q# (Screen#) |
New Q# (Screen#) |
Description of Modification |
Q19 (Screen 1 of 1)
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Q17 (Screen 1 of 1)
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Change question text to:
When faced with diagnostic uncertainty (difficult or unusual case), please indicate the frequency with which you use each of the following approaches. |
Change instruction to:
Please rank each of the five approaches below. |
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Change instruction to:
4 = my fourth most frequently used approach |
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Add instruction:
5 = my least frequently used approach |
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Change first sub-question to:
Order a panel of standard tests |
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Add fifth sub-question:
Follow-up and discuss with patient |
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Q21 (Screen 1 of 1) |
Q19 (Screen 1 of 1) |
Change “my” to “your” in the first, second, and third sub-questions:
Number of commercial laboratories used by your office
Number of physician office laboratories used by your office
Number of hospital laboratories used by your office |
Change text to the following in the second sub-question:
Number of physician office laboratories used by your office, including your own, if applicable |
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Original Q# (Screen#) |
New Q# (Screen#) |
Description of Modification |
Q2 (both screens) Q6 (both
screens) |
Q2 (both
screens) |
Change the response option Once a Year or More to:
At Least Once per Year |
Q2 (Screen 2 of 2) Q5 (Screen 1
of 1) |
Q2 (Screen 2 of 2) Q4 (Screen 1
of 1) |
Change text of final sub-question to:
Additional (tactic / factor / challenge / method / reason / source / statement), if applicable. |
Demographic Section |
Description of Modification |
Screen Concatenation |
Move questions "years in practice" and "your medical specialty" to screen with questions “gender,” “year born,” and "zip code." |
Delete Question |
Delete the following question:
What professional organizations do you belong to? |
Add 2 Questions |
Add the following 2 questions before “Does your medical group have more than one practice site?”:
Are you board certified? (Response options: Yes / No)
What is your medical degree? (Response options: M.D. / D.O.) |
Screen Concatenation |
Move 4 questions regarding the number of physicians “at practice site” and “in medical group” to the same screen. |
Percentage breakdown of tests |
Change fourth sub-question to:
Drug level monitoring |
Patient insurance status |
Change question to:
Approximate insurance status of your patient population? |
All Screens |
Add the following to each screen:
(Screen X of X) |
Final Screens |
Description of Modification |
“Thank you” screen |
Insert selected charities. |
Delete following text as physician names will not be available:
If you wish the donation to be made anonymously, please check the box below. |
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Add “Suggestions for Improvement” screen |
Add a final screen containing the following text:
You have reached the end of the survey. Thank you very much for your valuable assistance. Before you leave, please give us just a little more feedback on the questionnaire itself. We’d like to know if you understood all the questions; if the survey was well-designed; if you have suggestions for improving our study. Any comments are welcome! |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | cjeffrey |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |