This study explores whether the introduction of selectively trained radiographers reporting Accident and Emergency (A&E) X-ray examitions of the appendicular skeleton affected the availability of reports for A&E and General Practitioner (GP) examitions at a typical district general hospital. This was achieved by alysing monthly data on A&E and GP examitions for 1993-1997 using structural time-series models. Parameters to capture stochastic seasol effects and stochastic time trends were included in the models. The main outcome measures were changes in the number, proportion and timeliness of A&E and GP examitions reported. Radiographer reporting X-ray examitions requested by A&E was associated with a 12% (p=0.050) increase in the number of A&E examitions reported and a 37% (p=0.001) decrease in the time taken to report on these examitions. Radiographer reporting of A&E X-ray examitions was also associated with a 14% (p=0.067) decrease in the time taken for GP examitions to be reported. That is, radiographer reporting A&E X-ray examitions allowed an increase in the time available to radiologists to report on examitions requested by GPs. An increase in the proportion of GP examitions reported by radiologists was associated with longer reporting times for A&E examitions. In conclusion, selectively trained radiographers reporting on A&E X-ray examitions significantly improved the availability of reports for A&E and GP examitions.
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