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Improving the quality of antibiotic prescription patterns in general practice. The role of educational intervention.

AbstractOBJECTIVE:
To assess the quality of antibiotic prescribing by Victorian general practitioners, and the effectiveness of educational intervention techniques in improving prescribing.
DESIGN:
A randomised, controlled, parallel group trial.
SETTING AND PARTICIPANTS:
In rural and metropolitan Victoria, 182 general practitioners (78 control, 104 intervention) began and 103 (41 control, 62 intervention) completed the study.
INTERVENTION:
Participants recorded their antibiotic prescribing for tonsillitis. The intervention group received an educational mailing campaign. A project pharmacist visited each doctor to discuss campaign messages.
MAIN OUTCOME MEASURE:
The percentages of prescriptions of antibiotics for tonsillitis complying with those recommended in Antibiotic guidelines.
RESULTS:
In the intervention group, prescriptions consistent with recommendations in the guidelines increased from 60.5% before the campaign to 87.7% afterwards. Improvement also occurred in the control group, from 52.9% to 71.7% of prescriptions. The improvement within the intervention group was significantly greater than that within the control group.
CONCLUSIONS:
The educational campaign significantly improved the prescribing of appropriate antibiotics for tonsillitis by general practitioners.
AuthorsG De Santis, K J Harvey, D Howard, M L Mashford, R F Moulds
JournalThe Medical journal of Australia (Med J Aust) Vol. 160 Issue 8 Pg. 502-5 (Apr 18 1994) ISSN: 0025-729X [Print] Australia
PMID8170427 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Bacterial Agents
Topics
  • Anti-Bacterial Agents (therapeutic use)
  • Drug Prescriptions (standards)
  • Drug Utilization
  • Education, Medical, Continuing (methods)
  • Family Practice (education, standards)
  • Humans
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians' (standards)
  • Quality of Health Care
  • Tonsillitis (drug therapy)
  • Victoria

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