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Titolo:
Effectiveness of educational interventions on the improvement of drug prescription in primary care: a critical literature review
Autore:
Figueiras, A; Sastre, I; Gestal-Otero, JJ;
Indirizzi:
Univ Santiago de Compostela, Fac Med, Dept Prevent Med & Publ Hlth, Santiago De Compostela 15705, Spain Univ Santiago de Compostela Santiago De Compostela Spain 15705 05, Spain Natl Hlth Inst INSALUD, Hlth Area 6, Arriondas, Asturias, Spain Natl Hlth Inst INSALUD Arriondas Asturias Spain riondas, Asturias, Spain Univ Hosp Santiago, Prevent Med Serv, Santiago, Spain Univ Hosp Santiago Santiago Spain go, Prevent Med Serv, Santiago, Spain
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 2, volume: 7, anno: 2001,
pagine: 223 - 241
SICI:
1356-1294(200105)7:2<223:EOEIOT>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; HEALTH MAINTENANCE ORGANIZATION; TREATMENT-OF-DEPRESSION; GENERAL-PRACTITIONERS; PRESCRIBING BEHAVIOR; CLINICAL-PRACTICE; PROGRAM; INFORMATION; PHYSICIANS; FEEDBACK;
Keywords:
ambulatory care standards; education medical continuing; outcome assessment health care; review literature;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
76
Recensione:
Indirizzi per estratti:
Indirizzo: Figueiras, A Univ Santiago de Compostela, Fac Med, Dept Prevent Med & PublHlth, C San Francisco S-N, Santiago De Compostela 15705, Spain Univ Santiago de Compostela C San Francisco S-N Santiago De Compostela Spain 15705
Citazione:
A. Figueiras et al., "Effectiveness of educational interventions on the improvement of drug prescription in primary care: a critical literature review", J EVAL CL P, 7(2), 2001, pp. 223-241

Abstract

This paper is a critical review of studies of educational programmes designed to improve prescription practices in ambulatory care. Scientific articles were selected from the following bibliographical indices: MEDLINE, IME, ICYT and ERIC. The searches covered the time period between 1988 and 1997. The search criteria included: primary-care, educat*, prescription* and other related keywords. The inclusion criteria were studies describing educational strategies aimed at general practitioners working in ambulatory settings. The study outcome was change in pre scribing behaviour of physicians through prescribing indicators. The following data were extracted: study design, target drugs, type of intervention, follow-up period of the prescriptiontrends, type of data analysis, type of statistical analysis and reported results. We found 3233 articles that met the search criteria. Of these, 51 met the inclusion criteria and 43 studied the efficacy/effectiveness of one or various interventions as compared to no intervention. Among seven studies evaluating active strategies, four reported positive results (57%), as opposed to three of the eight studies assessing passive strategies (38%). Among the 28 studies that tested reinforced active strategies, 16 reported positive results for all variables (57%). Eight studies were classified as a high degree of evidence (16%). We concluded that the results of our review suggest that the more personalized, the more effective the strategies are. We observe that combining active and passive strategies results in a decrease of the failure rate. Finally, better studies are still needed to enhance the efficacy and efficiency of prescribing practices.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 06:10:07