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Reducing use of injections through interactional group discussions: a randomized controlled trial
R Bhunia1, Y Hutin, R Ramkrishnan
1Field Epidemiology Training Programme, National Institute of Epidemiology, Indian Council of Medical Research, Chennai, India. rbhunia@gmail.com
Indian Pediatrics
|September 9, 2009
Summary
Interactional group discussions significantly reduced physician injection prescriptions in rural India. This intervention offers a promising strategy for optimizing antibiotic use and improving patient outcomes.
Area of Science:
- Public Health
- Health Services Research
- Infectious Disease Management
Background:
- Unnecessary injection prescriptions are a concern in primary healthcare settings.
- Optimizing antibiotic prescribing practices is crucial for antimicrobial stewardship.
Purpose of the Study:
- To evaluate the effectiveness of interactional group discussions in reducing physician injection prescriptions.
- To assess the impact of a novel intervention on prescribing patterns in rural healthcare facilities.
Main Methods:
- A randomized controlled trial was conducted in rural public health care facilities in West Bengal, India.
- 72 medical officers were randomized into intervention and control groups.
- The intervention involved interactional group discussions aimed at modifying prescribing behavior.
Main Results:
- The intervention group showed a significant reduction in injection prescriptions from 23% to 7% (RR: 0.32).
- The control group had a smaller reduction, from 21% to 16% (RR: 0.77).
- The proportion of prescriptions including at least one injection decreased substantially in the intervention arm.
Conclusions:
- Interactional group discussions are an effective method for reducing the prescription of injections by physicians.
- This intervention holds potential for improving rational drug use and combating antimicrobial resistance.
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