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Titolo:
One-to-one versus group sessions to improve prescription in primary care -A pragmatic randomized controlled trial
Autore:
Figueiras, A; Sastre, I; Tato, F; Rodriguez, C; Lado, E; Caamano, F; Gestal-Otero, JJ;
Indirizzi:
Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Fac Med, Santiago De Compostela 15705, A Coruna, Spain Univ Santiago de Compostela Santiago De Compostela A Coruna Spain 15705 n Natl Inst Hlth, INSALUD, Arriondas, Asturias, Spain Natl Inst Hlth Arriondas Asturias Spain ALUD, Arriondas, Asturias, Spain Univ Santiago de Compostela, Dept Pharmacol, Santiago De Compostela, SpainUniv Santiago de Compostela Santiago De Compostela Spain postela, Spain Univ Hosp, Clin Pharmacol Serv, Santiago, Spain Univ Hosp Santiago Spain niv Hosp, Clin Pharmacol Serv, Santiago, Spain Univ Hosp, Prevent Med Serv, Santiago, Spain Univ Hosp Santiago SpainUniv Hosp, Prevent Med Serv, Santiago, Spain
Titolo Testata:
MEDICAL CARE
fascicolo: 2, volume: 39, anno: 2001,
pagine: 158 - 167
SICI:
0025-7079(200102)39:2<158:OVGSTI>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
NONSTEROIDAL ANTIINFLAMMATORY DRUGS; CONTINUING MEDICAL-EDUCATION; GENERAL-PRACTITIONERS; PRESCRIBING BEHAVIOR; GUIDELINES; ATTITUDES; OSTEOARTHRITIS; INTERVENTION; PHYSICIANS; MANAGEMENT;
Keywords:
one-to-one education; group education; primary care; prescription;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
52
Recensione:
Indirizzi per estratti:
Indirizzo: Figueiras, A Univ Santiago de Compostela, Dept Prevent Med & Publ Hlth, Fac Med, C San Francisco S-N, Santiago De Compostela 15705, A Coruna, Spain Univ Santiago de Compostela C San Francisco S-N Santiago De Compostela A Coruna Spain 15705
Citazione:
A. Figueiras et al., "One-to-one versus group sessions to improve prescription in primary care -A pragmatic randomized controlled trial", MED CARE, 39(2), 2001, pp. 158-167

Abstract

OBJECTIVES. The objective of the study was to evaluate the effectiveness of 2 educational strategies aimed at improving prescribing standards in primary care. METHODS. A pragmatic controlled trial was designed; the study population included general and family practitioners in Galicia (northwestern Spain) divided into 3 study groups: a one-to-one education group (n = 98), a by-group education group (n = 92), and a control group (n = 405). The educational intervention included explicit recommendations for selecting nonsteroidal anti-inflammatory drugs (NSAIDs) for inflammation signs. Some of the subjects were given reminders. Mixed-effect linear models were applied to data analysis. Analyses were done by intention-to-treat. The dependent variable is a rate with a numerator that is the number of prescribed units of the NSAIDs recommended during intervention; the denominator is the total number of prescribed units of the NSAID total. RESULTS. One-to-One education obtained an average prescribing behavior improvement of 6.5% (P <0.001) in the 9 months after intervention. In the education group, the average improvement was 2.4% (P <0.05) for the same period. Statistically significant differences were observed between the group intervention and one-to-one groups. The reminder increased significantly the effectiveness of the one-to-one intervention. CONCLUSIONS. A single, short educational session to primary care doctors can improve their prescribing standards during long periods of greater than or equal to9 months. Of the 2 strategies followed in the trial, one-to-one education has shown to be the most effective. Results also show that the effectiveness of these interventions increases when presented together with written material.

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Documento generato il 01/04/20 alle ore 11:20:42