The survey of physicians satisfaction of implementing “audit and feedback” and “printed educational materials” interventions for rational drug prescribing in cities of Tehran and Mashhad, Iran
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Abstract
Background: Many countries including Iran have used “audit and feedback” (A&F) and “printed educational materials” (PEMs) interventions to improve physicians’ drug prescribing behavior. In addition, several trials have shown low to moderate effects of the two interventions. Nevertheless, few studies have assessed physicians’ satisfactions with A&F or PEM interventions. This is a cross-sectional survey which was carried out in Tehran and Mashhad Cities, Iran, in 2014.Methods: 181 general physicians, pediatricians and infectious disease specialists working in outpatient practices completed the questionnaire covering demographic characteristics, satisfaction with the A&F and PEM, and the perceived effectiveness of the interventions in improving physicians’ behavior.Results: Almost all physicians who reported receiving A&F or PEM reports, indicated reading them. In addition, 84% and 86% of the physicians agreed with the efficiency of feedback reports and PEM, respectively.Conclusion: Findings showed that general physicians study A&F reports more carefully or frequently than the specialists. Physicians believed that revising the feedback report’s format and content could increase its effectiveness.(1) Hogerzeil HV, Bimo, Ross-Degnan D, Laing RO, Ofori-Adjei D, Santoso B, et al. Field tests for rational drug use in twelve developing countries. Lancet 1993; 342(8884): 1408-10.
(2) Le Grand A, Hogerzeil HV, Haaijer-Ruskamp FM. Intervention research in rational use of drugs: A review. Health Policy Plan 1999; 14(2): 89-102.
(3) Madridejos-Mora R, Amado-Guirado E, Perez-Rodriguez MT. Effectiveness of the combination of feedback and educational recommendations for improving drug prescription in general practice. Med Care 2004; 42(7): 643-8.
(4) Soleymani F, Rashidian A, Dinarvand R, Kebriaeezade A, Hosseini M, Abdollahi M. Assessing the effectiveness and cost-effectiveness of audit and feedback on physician's prescribing indicators: Study protocol of a randomized controlled trial with economic evaluation. Daru 2012; 20(1): 88.
(5) Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. Closing the gap between research and practice: An overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group. BMJ 1998; 317(7156): 465-8.
(6) Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. Audit and feedback: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2006; (2): CD000259.
(7) Cantillon P, Jones R. Does continuing medical education in general practice make a difference? BMJ 1999; 318(7193): 1276-9.
(8) Durieux P, Ravaud P, Dosquet P, Durocher A. Effectiveness of clinical guideline implementation strategies: Systematic review of systematic reviews. Gastroenterol Clin Biol 2000; 24(11): 1018-25.
(9) Smith WR. Evidence for the effectiveness of techniques to change physician behavior. Chest 2000; 118(2 Suppl): 8S-17S.
(10) Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, et al. Changing provider behavior: An overview of systematic reviews of interventions. Med Care 2001; 39(8 Suppl 2): II2-45.
(11) Shahbalaei F. Evaluation knowledge, attitude and practice of general physicians about rational prescribing and use of drug and effective factors in Tehran [Thesis]. Tehran, Iran: Tehran University of Medical Sciences; 2011. [In Persian].
(12) Sondergaard J, Andersen M, Kragstrup J, Hansen P, Freng GL. Why has postal prescriber feedback no substantial impact on general practitioners' prescribing practice? A qualitative study. Eur J Clin Pharmacol 2002; 58(2): 133-6.
(13) Flottorp SA, Jamtvedt G, Gibis B, McKee M. Using audit and feedback to health professionals to improve the quality and safety of health care. Proceedings of the Investing in Europe's health workforce of tomorrow: Scope for innovation and collaboration; 2010 Sep. 9-10; La Hulpe, Belgium.
(14) Bradley CP. Uncomfortable prescribing decisions: A critical incident study. BMJ 1992; 304(6822): 294-6.
(15) Butler CC, Rollnick S, Pill R, Maggs-Rapport F, Stott N. Understanding the culture of prescribing: Qualitative study of general practitioners' and patients' perceptions of antibiotics for sore throats. BMJ 1998; 317(7159): 637-42.
(16) Davis D, Galbraith R. Continuing medical education effect on practice performance: Effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest 2009; 135(3 Suppl): 42S-8S.
(17) McGuire WJ. Theoretical foundations of campaigns. Thousand Oaks, CA: SAGE; 1981.
(18) Giguere A, Legare F, Grimshaw J, Turcotte S, Fiander M, Grudniewicz A, et al. Printed educational materials: Effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev 2012; 10: CD004398.
| Files | ||
| Issue | Vol 2 No 3/4 (2016) | |
| Section | Original Article(s) | |
| Keywords | ||
| Drug therapy Educational technology Physicians Iran | ||
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