title: Open access echocardiography has diagnostic yield similar to outpatient echocardiography and is highly rated by general practitioners and patients.
abstract: BACKGROUND
  Open access echocardiography is widely available to General Practitioners (GP). There is little data comparing the proportion of echocardiographic studies which are abnormal in open access series with that in hospital outpatient practice. This study compares the diagnostic yield from echocardiograms performed for similar indications by open access and hospital out patient requested groups and assesses the attitudes of GPs and patients to open access echocardiography.
  
  
  METHODS
  The reports of 151 consecutive patients who had open access echocardiograms were analysed using predefined criteria for an abnormal study. The reports of 100 consecutive patients who had a new outpatient requested echocardiograms for similar indications were used as the control group. The attitudes of GPs and patients to the open access service were also assessed.
  
  
  RESULTS
  Fifty seven percent of patients in the open access group and 51% in the hospital requested group had abnormal studies (p>0.05). 92% of GPs who responded to the questionnaire thought the report was easy to understand while 69% thought it led to a change in patient management. 74% said a clinic referral would have been made without this service and 79% preferred a management strategy to be included in the report. 90% of patients had been informed of the result by their GP.
  
  
  CONCLUSIONS
  Open access echocardiography has a diagnostic yield similar to echocardiograms requested on new hospital outpatients in a district general hospital setting. GPs and patients report high levels of satisfaction with this service.
authors.affiliation: Regional Medical Cardiology Centre, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Ireland. vs.mahadevan@ntlworld.com
authors.forename: V S
authors.initials: VS
authors.lastname: Mahadevan
authors.forename: M
authors.initials: M
authors.lastname: Earley
authors.forename: B
authors.initials: B
authors.lastname: McClements
mesh_terms: D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D016507:Cardiology Service, Hospital / Q000458:organization & administration*; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007494:Ireland; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D017060:Patient Satisfaction; D010821:Physicians, Family; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging*