Effect of Prescriber Education on the Use of Medications Contraindicated in Older Adults in a Managed Medicare Population

Potentially inappropriate medications among elderly Brazilian outpatients

“…31 Gray and Gardner cited an example in which an institution dealt with this question. 32 Educative presentations to physicians have included suggestions for safer medications, along with non-pharmacological interventions for treating muscle pain.…”

Improving the Success of Mailed Letter Intervention Programs to Influence Prescribing Behaviors: A Review

“…Since this time, the use of retrospective drug utilization review has expanded to health maintenance organizations (HMO), Medicare programs, Veterans Administration (VA) medical centers, and various health management programs outside of the United States. [2][3][4][5][6][7] In addition to promoting safe and effective therapy, retrospective drug utilization review can also be used to coordinate care among physicians, reduce medication costs, and promote changes in prescribing behavior to reflect evidence-based recommendations. [8][9][10][11][12] Medication-related concerns identified during retrospective drug utilization reviews may be communicated to prescribers using mailed intervention letters.…”

“…Act (HIPAA) [2][3][4][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] ; provision of such information is uncommon among programs conducted overseas. Programs outside of the United States commonly use prescriber feedback alone or in combination with educational materials to encourage changes in prescribing practices.…”

“…Follow-up periods were generally ≤12 months (36/39 [92.3%]); only 3 programs used extended follow-up periods during which they reported quarterly or bi-yearly results as well as overall impact from baseline to completion. 3,4,43 Audience. The majority of interventions were mailed to general 26 selected those who had written excessively for target agents relative to the overall prescribing population.…”

“…Twenty-one of the 25 programs that provided some form of patient-identifying data were considered to have a significant impact on prescribing. [2][3][4][7][8][9][10][11][12][13][14][15][16][18][19][20][21][22][23]25,48 It should be noted that Meyer et al considered their patient-identifying intervention to be unsuccessful because changes in prescribing patterns were no longer significant at 6 and 12 months postintervention.…”