Can drug treatment be improved by feedback on prescribing profiles combined with therapeutic recommendations ? A prospective, controlled trial in general practice.
We have carried out a prospective, controlled trial to ascertain whether mailed feedback on general practioners' (GPs) own prescribing combined with relevant recommendations on drug treatment, can improve the prescribing.
The GPs in the Norwegian county of MOre and Romsdal recorded all their contacts with patients and prescriptions during two periods.
After the first period the GPs in Romsdal only (intervention group) received a mailed report giving their prescribing profiles as well as treatment recommendations for insomnia and acute cystitis.
The total number of contacts with patients was 68,625 in which 55,747 items were prescribed.
The GPs in the intervention group changed their prescribing in accordance with the intervention : they prescribed significantly less sleeping-pills for each patient, preferred short-to long-acting benzodiazepine hypnotics and tranquilizers, and they chose trimethoprim as a first line treatment for acute cystitis.
We conclude that it is possible to improve the GPs'prescribing through mailed feedback.
Mots-clés Pascal : Prescription médicale, Médecin généraliste, Homme, Cystite, Chimiothérapie, Insomnie, Traitement, Rétroaction, Recommandation, Audit, Norvège, Europe, Appareil urinaire pathologie, Vessie pathologie, Voie urinaire pathologie, Trouble sommeil
Mots-clés Pascal anglais : Medical prescription, General practitioner, Human, Cystitis, Chemotherapy, Insomnia, Treatment, Feedback regulation, Recommendation, Audit, Norway, Europe, Urinary system disease, Bladder disease, Urinary tract disease, Sleep disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0381466
Code Inist : 002B30A05. Création : 01/03/1996.