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Effect of mailed fe...
Effect of mailed feedback on drug prescribing profiles in general practice : a seven-year longitudinal study in Storstrom County, Denmark
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- Vægter, Keld (författare)
- Uppsala universitet,Allmänmedicin och klinisk epidemiologi
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- Wahlström, Rolf (författare)
- Uppsala universitet,Allmänmedicin och klinisk epidemiologi
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Wedel, Hans (författare)
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visa fler...
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- Svärdsudd, Kurt (författare)
- Uppsala universitet,Allmänmedicin och klinisk epidemiologi
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visa färre...
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(creator_code:org_t)
- 2010-10-07
- 2010
- Engelska.
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Ingår i: Upsala Journal of Medical Sciences. - : Uppsala Medical Society. - 0300-9734 .- 2000-1967. ; 115:4, s. 238-244
- Relaterad länk:
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https://doi.org/10.3...
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https://urn.kb.se/re...
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https://doi.org/10.3...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background. Whether written feedback on drug prescribing in general practice affects prescribing habits is controversial. Most short-term studies showed no effect. However, the issue has not been tested in long-term studies involving the local general practitioner community. Aims of the study. To assess whether prescribing levels in general practice are affected by long-term, unsolicited, systematically repeated, mailed feedback. Methods. Each of the 94 general practices in Storstrom County, Denmark, received semi-annual, mailed feedback about their prescribing volumes and costs within 13 major drug groups, in relation to the levels for all the other 93 practices over a 7-year period in a project initiated by the local general practitioner association. Data on the number of defined daily doses (DDDs) prescribed per 1000 listed patients in each practice per 6-months, and practice characteristics, were obtained from the Pharmaceutical Database at the County Health Department. Results. There was a large variation in drug prescribing volume between practices, but little within-practice variation over time. After adjustments for the influence of practice size and other potential outcome-affecting variables, there was no evidence of a general change of prescribing volume over time, no change among practices with a high or a low prescribing level, and no significant change within the various drug groups. Conclusions. We found no significant effects on prescribing levels of mailed feedback, even when repeated semi-annually during 7 years and initiated by the local general practitioner community.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Drug prescribing
- general practice
- mailed feedback
- Public health medicine research areas
- Folkhälsomedicinska forskningsområden
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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