Promoting sugar-free medicines: evaluation of a multi-faceted intervention.
| Autor: | Weeks JC; Camden and Islington Primary Care Trusts, UK., Dutt A, Robinson PG |
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| Jazyk: | angličtina |
| Zdroj: | Community dental health [Community Dent Health] 2003 Dec; Vol. 20 (4), pp. 246-50. |
| Abstrakt: | Objective: To evaluate an intervention to increase the proportion of medicines prescribed as sugar-free formulations by general practitioners. Basic Research Design: Natural experiment. Setting: Interventions were set in Camden and Islington Health Authority with comparator data within that and adjacent health authorities. Participants: General medical practices. Interventions: Two interventions were employed. A prescribing incentive scheme that used the proportion of medicines prescribed as sugar-free formulations as a quality marker for general practitioners and a publicity campaign for health care workers and members of the public. Main Outcome Measures: The proportions of amoxycillin mixture and all paracetamol liquid preparations that were prescribed in sugar-free formulations. Results: Sugar-free prescribing in the practices participating in the incentive scheme increased from 27% to 45% whereas non-participating practices showed a decrease from 20% to 14%. The proportion of prescriptions for sugar-free formulations increased by approximately one half across the entire health authority so that after two years Camden and Islington had the highest level of prescribing of sugar-free paracetamol and amoxycillin in London. Conclusion: These data provide compelling evidence of the effectiveness of the prescribing incentive scheme whereas the publicity campaign did not change prescribing behaviour. |
| Databáze: | MEDLINE |
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