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Experience with academic detailing services for quality improvement in primary care practice
1Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts 02120, USA. fwmay@partners.org
Quality & Safety in Health Care
|May 27, 2009
Summary
Academic detailing, a proven quality improvement strategy, shows promising acceptance among US primary care physicians. This drug and therapeutics information service demonstrated high physician participation and satisfaction, indicating its feasibility for widespread adoption.
Area of Science:
- Health Services Research
- Medical Education
- Quality Improvement
Background:
- Academic detailing is a research-proven method for improving healthcare quality.
- Transitioning academic detailing into US primary care quality improvement services has faced challenges.
- This study investigates the adoption and effectiveness of an academic detailing service in US primary care.
Purpose of the Study:
- To describe primary care physician uptake, retention, and response to an academic detailing service in the USA.
- To explore performance indicators for service acceptance.
- To assess the feasibility of an Australian academic detailing service model in the US context.
Main Methods:
- An academic detailing-led drug and therapeutics information service was offered to primary care physicians in Fayette County, Kentucky, over 29 months.
- Two programs focused on type 2 diabetes and chronic pain management, including up to four office visits.
- Physician participation, retention, and satisfaction indicators were tracked.
Main Results:
- 78% of eligible primary care physicians (102/130) participated.
- High engagement was observed for both type 2 diabetes (72%) and chronic pain (58%) programs.
- Physicians generally expressed willingness to continue receiving visits, with passive satisfaction indicators like visit duration and material retention noted.
Conclusions:
- Academic detailing services can be successfully implemented and accepted within US primary care settings.
- The study demonstrates the feasibility of adapting international academic detailing models for US quality improvement initiatives.
- Physician engagement and satisfaction suggest academic detailing is a viable strategy for enhancing primary care practice.
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