Northampton Electronic Collection of Theses and Research

Enabling patients with respiratory symptoms to access chest X-rays on demand: the experience of the walk-in service in Corby, UK

Campbell, J., Pyer, M., Rogers, S., Walter, D. and Reddy, R. (2014) Enabling patients with respiratory symptoms to access chest X-rays on demand: the experience of the walk-in service in Corby, UK. Journal of Public Health. 36(3) 1741-3842.

Item Type: Article
Abstract: BACKGROUND: UK clinical guidance for lung cancer (NICE 141) includes pathways for chest X-rays (CXRs). Many patients fulfilling the criteria do not receive one, either because they do not consult their doctor or because their doctor does not refer them. The town of Corby, UK, has particularly high incidence and mortality rates for lung cancer and was chosen as a pilot site for a new, patient-requested X-ray service. METHODS: The number of community-initiated CXRs were compared before and after the introduction of the service and between similar geographical areas. Clinical data and patient questionnaires were analysed for those attending the service. RESULTS: There was a 63% increase in the total number of community-initiated CXRs in Corby for the year following the introduction of the service, compared with the year before. This was statistically greater than in surrounding geographical areas. Corby General Practitioners also requested 47% more CXRs than in the previous year. CONCLUSIONS: The implementation of the service was associated with a significant increase in the numbers of clinically indicated CXRs in an area of high lung cancer incidence and mortality. The service attracted a clinically appropriate population. The numbers of cancers detected were in line with statistical expectations.
Uncontrolled Keywords: Cancer, primary care, public health
Creators: Campbell, Jackie, Pyer, Michelle, Rogers, Stephen, Walter, David and Reddy, Raja
Faculties, Divisions and Institutes: Research Centres > Centre for Health Sciences and Services
Research Centres > Centre for Physical Activity and Life Sciences
Research Centres > Northamptonshire Dementia Research & Innovation Centre
Date: 1 January 2014
Date Type: Publication
Journal or Publication Title: Journal of Public Health
Volume: 36
Number: 3
Language: English
DOI: https://doi.org/10.1093/pubmed/fdt104
ISSN: 1741-3842
Status: Published / Disseminated
Refereed: Yes
URI: http://nectar.northampton.ac.uk/id/eprint/6180

Actions (login required)

Edit Item Edit Item