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Direct mailing as a means of disseminating NIH consensus statements. A comparison with current techniques
JAMA
|March 14, 1986
Summary
Mass mailing consensus statements to physicians increased awareness slightly. However, the cost-effectiveness compared to traditional methods requires careful consideration for optimal medical information dissemination.
Area of Science:
- Medical Information Dissemination
- Health Communication Research
- Evidence-Based Medicine Implementation
Background:
- Traditional methods for disseminating medical information to physicians are well-established.
- Evaluating novel dissemination strategies is crucial for improving healthcare practices.
- The National Institutes of Health (NIH) Office of Medical Applications of Research seeks to optimize information reach.
Purpose of the Study:
- To assess the effectiveness of mass mailing consensus statements compared to traditional dissemination.
- To quantify the impact of direct mailings on physician awareness of medical guidelines.
- To inform strategies for efficient and impactful medical knowledge transfer.
Main Methods:
- A survey was conducted among 695 physicians across five specialties in two metropolitan areas.
- The study focused on the NIH consensus statement regarding osteoporosis.
- Physician awareness was measured before and after dissemination interventions.
Main Results:
- Direct mailing of the consensus statement resulted in a small but statistically significant increase in physician awareness.
- The study compared the awareness gains against the associated costs and the effectiveness of alternative dissemination channels.
- The findings highlight a trade-off between direct mailing's reach and its resource implications.
Conclusions:
- Mass mailing can enhance physician awareness of medical consensus statements, albeit modestly.
- The cost-benefit analysis of direct mailing versus other dissemination methods is essential for strategic planning.
- Optimizing the dissemination of medical research findings requires a nuanced approach considering multiple factors.

