Variation in the use of point-of-care ultrasound in general practice in various European countries. Results of a survey among experts
Creators: name: Mengel-Jørgensen, Troels
name: Jensen, Martin Bach
Publisher: name: Taylor & Francis
Year: 2016
Subjects: subject: Medicine
subject: Molecular Biology
subject: 59999 Environmental Sciences not elsewhere classified
subject: FOS: Earth and related environmental sciences
subject: FOS: Earth and related environmental sciences
subject: Sociology
subject: FOS: Sociology
subject: FOS: Sociology
subject: 69999 Biological Sciences not elsewhere classified
subject: FOS: Biological sciences
subject: FOS: Biological sciences
subject: Cancer
subject: 111714 Mental Health
subject: FOS: Health sciences
subject: FOS: Health sciences
subject: 110309 Infectious Diseases
subject: 60506 Virology

description: <b>Background:</b> Before implementing point-of-care ultrasound in general practice in Denmark, we sought inspiration from other countries/regions. <b>Objectives:</b> To collect information about the use and organizational aspects of point-of-care ultrasound in general practice in different European countries/regions. <b>Methods: </b>Fifteen key persons with knowledge about the use of ultrasound in general practice in Austria, Catalonia, Denmark, Finland, Germany, Greenland, Iceland, the Netherlands, Norway, Scotland, Sweden, and Switzerland were included. Participants received a link to a web-based questionnaire. The primary outcome measures were educational aspects regarding the use of point-of-care ultrasound; clinical application and use; financial aspects; and main barriers to using ultrasound in general practice. <b>Results:</b> In eight out of 12 countries/regions there were national societies for the use of ultrasound in general practice. The respondents from three countries/regions reported that the use of ultrasound was integrated into undergraduate medical education. In nine of the countries/regions, there was formalized training for general practitioners, but only three reported this to be part of the specialization to become a general practitioner. In seven out of 12 countries/regions, general practitioners received payment for ultrasound scans. However, the payment and the requirements for reimbursement differed between countries. Lack of time, lack of training, and financial aspects were important common barriers across countries/regions. <b>Conclusion:</b> There were significant differences regarding the use and organizational aspects of point-of-care ultrasound in general practice in Europe. Lack of time and training as well as financial aspects were important barriers to the use of point-of-care ultrasound in general practice.KEY MESSAGES Point-of-care ultrasound is used differently in different countries/regions.Significant differences exist between countries/regions regarding the organization of national societies for the use of point-of-care ultrasound in general practice.Respondents cited financial aspects, time use and lack of skills as the greatest barriers to general practitioners’ use of point-of-care ultrasound. Point-of-care ultrasound is used differently in different countries/regions. Significant differences exist between countries/regions regarding the organization of national societies for the use of point-of-care ultrasound in general practice. Respondents cited financial aspects, time use and lack of skills as the greatest barriers to general practitioners’ use of point-of-care ultrasound.