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Technology-enabled academic detailing: computer-mediated education between pharmacists and physicians for
Kendall Ho1, Anne Nguyen, Sandra Jarvis-Selinger
1eHealth Strategy Office, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. Kendall.Ho@ubc.ca
International Journal of Medical Informatics
|June 18, 2013
Summary
Technology-Enabled Academic Detailing (TEAD) offers a time-efficient and effective alternative to traditional face-to-face Academic Detailing (AD) for improving physician prescribing practices, especially for those in remote areas.
Area of Science:
- Pharmacy Practice
- Health Services Research
- Medical Education
Background:
- Academic detailing (AD) enhances physician prescribing through pharmacist consultations.
- Traditional AD faces challenges with accessibility for rural or time-constrained physicians.
- Limited numbers and urban focus of academic detailers restrict reach.
Purpose of the Study:
- To assess the feasibility of Technology-Enabled Academic Detailing (TEAD) versus traditional AD.
- To compare TEAD and AD in delivering evidence-based prescribing information on diabetes medications.
- To evaluate TEAD and AD based on time efficiency, satisfaction, and knowledge exchange.
Main Methods:
- 105 General Practitioner Physicians and 12 pharmacists participated in British Columbia.
- Pharmacists were trained as academic detailers for diabetes medications.
- Physicians received four detailing sessions via AD only, TEAD only, or crossover designs.
Main Results:
- 300 detailing sessions (133 AD, 167 TEAD) were analyzed.
- TEAD sessions averaged 49 minutes, while AD sessions averaged 81 minutes.
- Physicians reported satisfaction with both AD and TEAD, valuing reinforced knowledge and new insights.
Conclusions:
- Technology-Enabled Academic Detailing (TEAD) is a viable alternative to traditional AD.
- TEAD demonstrates greater time efficiency and facilitates effective knowledge exchange.
- TEAD expands access to academic detailing for physicians unable to attend in-person sessions.
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