Guidelines and educational outreach visits from community pharmacists to improve prescribing in general practice: a randomised controlled trial

Watson, Margaret; Gunnell, David; Peters, Tim; Brookes, Sara; Sharp, Deborah

doi:10.1258/1355819011927503

Cited by 28 publications

(80 citation statements)

References 9 publications

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“…This finding is consistent with evidence from past research that reported varying levels of effectiveness and/or persistence of effect from prescriber educational programs. [22][23][24][25][26][27][28][29][30] However, the lack of effect may be due to several factors that are important in detecting significant changes in prescribing practices.…”

Section: Distribution and Percentage Change Of Prescribing Potential mentioning

confidence: 99%

Effect of an Educational Outreach Program on Prescribing Potential Drug-Drug Interactions

Malone

Liberman

Sun

2013

JMCP

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BACKGROUND: The topic of improving prescribing practices is a major focus of many national initiatives, not only to enhance the quality of health care but also to reduce medical care costs. Educational outreach (also known as academic detailing) is a type of postgraduate education where trained clinical consultants meet face-to-face with prescribers to provide one-on-one information. Ideally, such visits promote evidence-based knowledge, create trusting relationships, and induce practice change, particularly with regard to prescribing potentially interacting medications.

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Section: Distribution and Percentage Change Of Prescribing Potential mentioning

confidence: 99%

Effect of an Educational Outreach Program on Prescribing Potential Drug-Drug Interactions

Malone

Liberman

Sun

2013

JMCP

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“…For example, outreach visits made little difference to GPs' prescribing habits, whereas formal seminars and workshops were reported to change their behaviour (Santoso, 1996;Watson, Gunnell, Peters, Brookes, & Sharp, 2001;Witt, Knudsen, Ditlevsen, & Hollnagel, 2004). Community pharmacists may not be able to perform all tasks expected of them when they start to provide a service.…”

Section: Influence Of Training On Performance In Medication Reviewsmentioning

confidence: 99%

Training, clinical medication review performance and self-assessed competence: Investigating influences

Laaksonen¹,

Bates²,

Duggan³

2007

Pharmacy Educ.

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The aim of the study was to evaluate the influence of community pharmacists' training performance on providing clinical medication reviews, and the influence of their training and medication review performances on their self-assessed competence in two Primary Care Trusts (PCT) in England. Data were collected on training and medication reviews, and a postal survey, developed to measure pharmacists' self-assessed competence, was administered. Simple regression was used to predict medication review performance and multiple regression to predict self-assessed competence. The better the pharmacists' performance in Pharmaceutical care planning module, the better their performance in suggesting actions to solve drug related problems (DRPs) in medication reviews. In addition, the better the pharmacists' performance in suggesting actions to solve DRPs, the poorer their self-assessed competence in "delivery of patient care" competency cluster. While the training supported the provision of medication reviews, pharmacists may need more continuous, individual support and feedback to further develop their ability to self-assess competence.

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“…General practices vary in their structural characteristics, their use of health service resources, their standards of clinical care, and in patient outcomes. Structural characteristics of general practices, such as: the partnership size [31-33]; whether the practitioner works single-handedly; the age and sex of the general practitioner [34-36]; whether the practice provides vocational training [37] or engages in undergraduate medical education [38]; the size and characteristics of the practice list [39-41]; and whether the practice is in a rural location [42,43], have been found to be associated either with process of health care, or with different health outcomes or health care utilization [44-48]. There are few female GPs working in rural areas and this leads to reduced choice for patients and poorer access to some treatments [49-51].…”

Section: Introductionmentioning

confidence: 99%

Is the health of people living in rural areas different from those in cities? Evidence from routine data linked with the Scottish Health Survey

Teckle

Hannaford

Sutton

2012

BMC Health Serv Res

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BackgroundTo examine the association between rurality and health in Scotland, after adjusting for differences in individual and practice characteristics.MethodsDesign: Mortality and hospital record data linked to two cross sectional health surveys. Setting: Respondents in the community-based 1995 and 1998 Scottish Health Survey who consented to record-linkage follow-up. Main outcome measures: Hypertension, all-cause premature mortality, total hospital stays and admissions due to coronary heart disease (CHD).ResultsOlder age and lower social class were strongly associated with an increased risk of each of the four health outcomes measured. After adjustment for individual and practice characteristics, no consistent pattern of better or poorer health in people living in rural areas was found, compared to primary cities. However, individuals living in remote small towns had a lower risk of a hospital admission for CHD and those in very remote rural had lower mortality, both compared with those living in primary cities.ConclusionThis study has shown how linked data can be used to explore the possible influence of area of residence on health. We were unable to find a consistent pattern that people living in rural areas have materially different health to that of those living in primary cities. Instead, we found stronger relationships between compositional determinants (age, gender and socio-economic status) and health than contextual factors (including rurality).

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Guidelines and educational outreach visits from community pharmacists to improve prescribing in general practice: a randomised controlled trial

Abstract: Although good prescribing at baseline in the participating practices limited the capacity for improvement, this trial provides no evidence that guidelines with or without educational outreach visits from community pharmacists lead to substantial improvements in prescribing behaviour.

Cited by 28 publications

References 9 publications

Effect of an Educational Outreach Program on Prescribing Potential Drug-Drug Interactions

Effect of an Educational Outreach Program on Prescribing Potential Drug-Drug Interactions

Training, clinical medication review performance and self-assessed competence: Investigating influences

Is the health of people living in rural areas different from those in cities? Evidence from routine data linked with the Scottish Health Survey

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