学术详细介绍干预和基于证据的处方:系统性审查
Benjamin N Rome1,2, Ellen Dancel3, Alexander Chaitoff4
1Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
学术详细介绍,一种交互式的教育宣传,显著改善了临床医生的处方行为. 这一策略在各种环境中有效,以促进基于证据的药物使用.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 药理学 药理学是指药理学的学科.
背景情况:
- 学术详细化 (AD) 是促进临床医生之间基于证据的处方的一个关键策略.
- 这种互动式的教育宣传旨在改善药物使用和患者的治疗结果.
研究的目的:
- 系统地评估专注于改善处方行为的学术详细计划.
- 确定与基于证据的处方成功结果相关的程序特征.
主要方法:
- 在MEDLINE上对2007年4月至2022年12月期间发表的研究进行了系统的文献搜索.
- 包括随机和非随机试验,评估学术详细干预措施的处方改善,重点研究测量处方结果.
- 评估了偏差风险,分析的重点是低至中等风险的研究.
主要成果:
- 审查了118项研究,针对的领域包括过度使用抗生素,阿片类药物处方,心理健康和心血管疾病.
- 在36项低风险研究中,50%的研究结果显示所有处方结果都显著改善,19%的研究结果至少改善了一个结果.
- 针对药物使用的绝对变化中位数为4.0%.
结论:
- 学术详细干预措施在修改处方行为方面表现出相当大的有效性.
- 尽管证据质量有所变化,但研究结果支持广泛使用学术详细信息,以加强在不同临床环境中基于证据的处方.
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