dc.contributor.author | Rognstad, Sture | |
dc.contributor.author | Brekke, Mette | |
dc.contributor.author | Fetveit, Arne | |
dc.contributor.author | Dalen, Ingvild | |
dc.contributor.author | Straand, Jørund | |
dc.date.accessioned | 2017-06-07T12:41:19Z | |
dc.date.available | 2017-06-07T12:41:19Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Rognstad, S., Brekke, M., Fetveit, A., Dalen, I. & Straand, J. (2013) Prescription peer academic detailing to reduce inappropriate prescribing for older patients: a cluster randomised controlled trial. British Journal of General Practice, 63(613), s. 554-562. | |
dc.identifier.uri | http://hdl.handle.net/11250/2445253 | |
dc.description | Artikkelen beskriver funn fra en studie som har undersøkt om en sammensatt pedagogisk intervensjon har effekt på allmennlegenes potensielt uhensiktsmessige legemiddelforskrivning for eldre pasienter. | |
dc.description.abstract | BACKGROUND: Older patients are at particular risk for adverse drug reactions. In older people, interventions targeting potentially inappropriate prescriptions (PIPs) are considered important measures to minimise drug-related harm, especially in the general practice setting where most prescriptions for older patients are issued.
AIM: To study the effects of a multifaceted educational intervention on GPs' PIPs for older patients.
DESIGN AND SETTING: This was a cluster randomised, educational intervention study in Norwegian general practice. Pre-study data were captured from January 2005 to December 2005 and post-study data from June 2006 to June 2007. The educational intervention was carried out from January 2006 to June 2006.
METHOD: Eighty continuing medical education (CME) groups (465 GPs) were randomised to receive the educational intervention on GPs' PIPs for older patients (41 CME groups; 256 GPs) or another educational intervention (39 CME groups; 209 GPs); these two groups acted as controls for each other. GPs' prescription data from before and after the intervention were assessed against a list of 13 explicit PIP criteria for patients aged ≥70 years. In the CME groups, trained GPs carried out an educational programme, including an audit, focusing on the 13 criteria and their rationale.
RESULTS: A total of 449 GPs (96.6%) completed the study; 250 in the intervention group and 199 in the control group. After adjusting for baseline differences and clustering effects, a reduction relative to baseline of 10.3% (95% confidence interval = 5.9 to 15.0) PIPs per 100 patients aged ≥70 years was obtained.
CONCLUSION: Educational outreach visits with feedback and audit, using GPs as academic detailers in GPs' CME groups, reduced PIPs for older patients aged ≥70 years in general practice. | |
dc.language.iso | eng | |
dc.title | Prescription peer academic detailing to reduce inappropriate prescribing for older patients: a cluster randomised controlled trial | |
dc.type | Journal article | |
dc.rights.holder | Rognstad, Sture | |
dc.identifier.doi | 10.3399/bjgp13X670688 | |