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Changing prescribing patterns: a program of physician education.

M E Whiteside, S Lefkowitz, F R Justiniani

    Hospital Formulary
    |May 10, 1987
    PubMed
    Summary
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    An educational program successfully improved appropriate prescribing of second-generation cephalosporins, increasing their proper use by 28% and reducing costs. This intervention demonstrated a low-cost method for modifying physician prescribing habits.

    Area of Science:

    • Pharmacology
    • Health Services Research
    • Infectious Diseases

    Background:

    • Inappropriate utilization of second-generation cephalosporins was identified as a significant issue.
    • This led to the development of an educational intervention aimed at cost containment.

    Purpose of the Study:

    • To assess the effectiveness of an educational program in modifying physician prescribing patterns for second-generation cephalosporins.
    • To reduce inappropriate drug use and associated costs within a community teaching hospital.

    Main Methods:

    • A drug utilization review was conducted to identify prescribing issues.
    • Educational guidelines on cephalosporin use and cost comparisons were distributed.
    • Physician prescribing patterns were monitored before, during, and after the educational intervention.

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    Main Results:

    • Appropriate use of cefamandole and cefoxitin increased from 30% to 58%.
    • A switch to less expensive, therapeutically equivalent drugs occurred in 28% of cases within 48 hours of guideline implementation.
    • The educational program proved to be a cost-effective intervention.

    Conclusions:

    • Educational interventions can effectively alter physician prescribing patterns.
    • Targeted education can lead to more appropriate and cost-effective use of antibiotics.
    • This approach offers a low-cost strategy for drug utilization management.