Ravishankar Sargur

Ravishankar Sargur
Sheffield Teaching Hospitals NHS Foundation Trust | STH · Immunology And Allergy Unit (Northern General Hospital)

MD, FRCP, FRCPath, MBA

About

78
Publications
11,172
Reads
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1,293
Citations
Additional affiliations
June 2021 - present
UKNEQAS
Position
  • Director
May 2015 - June 2021
Royal College of Physicians
Position
  • Chair
April 2013 - present
Sheffield Immunology Protein Reference Unit
Position
  • Clinical Lead

Questions

Question (1)
Question
I am looking a variation in Medical test requesting practices by Primary care physicians. The tests I am looking at have clear guidelines, the data is normalised by demographics etc. Other variables like experience, special interests, QOF framework, patient pathways, resource allocation, easy of access etc have been factored in.
After all this one would still see 15 to 30 fold variation. 
how does one go about defining " acceptable variation" in such a system where in a human being ( Doctor) is interacting with a patient. 2 sets of human factors influencing each other. 
For example, I am a secondary care physician- and I am aware , in the last 10 patients I saw for a suspected condition - the number of tests I did vary from person to person. 
Thoughts and comments please

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