向处方顾问提供的教育干预措施,以影响初级保健处方:一个非常低成本的实用性随机试验,使用来自OpenPrescribing.net的常规数据
Helen J Curtis1, Brian MacKenna2,3, Bhavana Reddy4
1Nuffield Department of Primary Care Health Sciences, The Bennett Institute for Applied Data Science, University of Oxford, Oxford, OX2 6GG, UK. helen.curtis@phc.ox.ac.uk.
BMC health services research
|February 26, 2025
概括
英国NHS的一次教育干预并没有显著改变初级保健处方的低优先级项目. 这项研究强调了低成本随机试验的价值,用于评估医疗保健指导干预措施.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床药房 临床药房
- 卫生经济学 卫生经济学
背景情况:
- 英国NHS确定了18种低优先级的治疗方法,以减少初级保健处方.
- 发布了指导,以限制这些物品的常规处方.
研究的目的:
- 评估教育干预对初级保健的影响,对低优先级项目进行支出.
- 评估高级药剂师向区域处方顾问提供的干预措施的有效性.
主要方法:
- 一个机会主义的随机对照试验,涉及临床调试组 (CCG).
- 干预组接受了一次性教育课程;对照组没有.
- 主要结果测量了总和特定的低优先级项目处方;次要结果包括信息搜索行为.
主要成果:
- 没有观察到对初级保健处方结果的显著影响.
- 据CCG电子邮件警报注册显示,数据参与的潜在增加被注意到 (p=0.077).
- 没有检测到任何不良影响.
结论:
- 一个单一的教育干预并没有显著改变低优先级的处方做法.
- 该研究证明了进行低成本随机试验的可行性,以评估医疗保健干预措施和遵守指南.
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