Mailed prescriber feedback in addition to a clinical guideline has no impact: a randomised, controlled trial
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Mailed prescriber feedback in addition to a clinical guideline has no impact : a randomised, controlled trial. / Søndergaard, Jens; Andersen, Morten; Støvring, Henrik; Kragstrup, Jakob.
In: Scandinavian Journal of Primary Health Care, Vol. 21, No. 1, 03.2003, p. 47-51.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Mailed prescriber feedback in addition to a clinical guideline has no impact
T2 - a randomised, controlled trial
AU - Søndergaard, Jens
AU - Andersen, Morten
AU - Støvring, Henrik
AU - Kragstrup, Jakob
PY - 2003/3
Y1 - 2003/3
N2 - OBJECTIVE: To evaluate the impact of feedback on the prescribing of antibiotics supplementary to clinical guidelines in the treatment of respiratory tract infections.DESIGN: Randomised, controlled trial with GPs allocated to one of two groups. The first group received clinical guidelines on the treatment of respiratory tract infections plus postal feedback with aggregated data on their prescribing patterns for antibiotics. The second group served as controls for the first group and received the guidelines only.SETTING: 299 GPs representing 181 practices with 455,843 listed patients in the County of Funen, Denmark.MAIN OUTCOME MEASURES: Effects on GP prescribing patterns were measured by means of a prescription database and followed for a period of 2 years with 2 outcome measures: 1) the antibiotic prescription rate and 2) the fraction of prescriptions for narrow-spectrum antibiotics.RESULTS: The addition of feedback had no impact on GP prescribing patterns.CONCLUSION: Postal disseminated prescriber feedback in addition to a clinical guideline on the diagnosis and treatment of respiratory tract infections does not influence GP prescribing patterns. Interventions aimed at improving performance in general practice should go beyond just giving GPs information on whether they are living up to standards.
AB - OBJECTIVE: To evaluate the impact of feedback on the prescribing of antibiotics supplementary to clinical guidelines in the treatment of respiratory tract infections.DESIGN: Randomised, controlled trial with GPs allocated to one of two groups. The first group received clinical guidelines on the treatment of respiratory tract infections plus postal feedback with aggregated data on their prescribing patterns for antibiotics. The second group served as controls for the first group and received the guidelines only.SETTING: 299 GPs representing 181 practices with 455,843 listed patients in the County of Funen, Denmark.MAIN OUTCOME MEASURES: Effects on GP prescribing patterns were measured by means of a prescription database and followed for a period of 2 years with 2 outcome measures: 1) the antibiotic prescription rate and 2) the fraction of prescriptions for narrow-spectrum antibiotics.RESULTS: The addition of feedback had no impact on GP prescribing patterns.CONCLUSION: Postal disseminated prescriber feedback in addition to a clinical guideline on the diagnosis and treatment of respiratory tract infections does not influence GP prescribing patterns. Interventions aimed at improving performance in general practice should go beyond just giving GPs information on whether they are living up to standards.
KW - Anti-Bacterial Agents/classification
KW - Denmark
KW - Drug Utilization Review
KW - Family Practice
KW - Feedback
KW - Female
KW - Health Services Research
KW - Humans
KW - Male
KW - Postal Service
KW - Practice Guidelines as Topic
KW - Practice Patterns, Physicians'
KW - Respiratory Tract Infections/drug therapy
U2 - 10.1080/02813430310000564
DO - 10.1080/02813430310000564
M3 - Journal article
C2 - 12718461
VL - 21
SP - 47
EP - 51
JO - Scandinavian Journal of Primary Health Care
JF - Scandinavian Journal of Primary Health Care
SN - 0281-3432
IS - 1
ER -
ID: 324177955