The 'wise list'- a comprehensive concept to select, communicate and achieve adherence to recommendations of essential drugs in ambulatory care in Stockholm

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The 'wise list'- a comprehensive concept to select, communicate and achieve adherence to recommendations of essential drugs in ambulatory care in Stockholm

Gustafsson, Lars L. (författare): Karolinska Institutet

Wettermark, Björn (författare): Division of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet at Karolinska University Hospital Huddinge, Stockholm, Sweden; Regional Drug and Therapeutics Committee, Medical Knowledge Centre, Stockholm County Council (Healthcare Region), Stockholm, Sweden

Godman, Brian (författare): Karolinska Institutet

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Andersén-Karlsson, Eva (författare): Karolinska Institutet

Bergman, Ulf (författare): Karolinska Institutet

Hasselström, Jan (författare): Karolinska Institutet

Hensjö, Lars-Olof (författare): Inera Ltd., National Information Services for Swedish Healthcare, Stockholm, Sweden

Hjemdahl, Paul (författare): Karolinska Institutet

Jägre, Ingrid (författare): Regional Drug and Therapeutics Committee, Medical Knowledge Centre, Stockholm County Council (Healthcare Region), Stockholm, Sweden

Julander, Margaretha (författare): Regional Drug and Therapeutics Committee, Medical Knowledge Centre, Stockholm County Council (Healthcare Region), Stockholm, Sweden

Ringertz, Bo (författare): Division of Rheumatology, Department of Medicine, Karolinska Institutet at Karolinska University Hospital Solna, Stockholm, Sweden

Schmidt, Daniel (författare): Department of Internal Medicine, St Göran Hospital, Stockholm, Sweden

Sjöberg, Susan (författare): Karolinska Institutet

Sjöqvist, Folke (författare): Karolinska Institutet

Stiller, Carl-Olav (författare): Karolinska Institutet

Törnqvist, Elisabeth (författare): Regional Drug and Therapeutics Committee, Medical Knowledge Centre, Stockholm County Council (Healthcare Region), Stockholm, Sweden

Tryselius, Rolf (författare): Regional Drug and Therapeutics Committee, Medical Knowledge Centre, Stockholm County Council (Healthcare Region), Stockholm, Sweden

Vitols, Sigurd (författare): Clinical Pharmacology Services, Karolinska University Hospital, Stockholm, Sweden; Clinical Pharmacology Unit, Department of Medicine, Karolinska Institutet at Karolinska University Hospital Solna, Stockholm, Sweden

von Bahr, Christer (författare): Section of Clinical Pharmacology, Department of Internal Medicine, Södersjukhuset, Stockholm, Sweden

Regional Drug Expert Consortium, - (författare)

von Euler, Mia, 1967- (författare)

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(creator_code:org_t)

2011-03-18
2011
Engelska.
Ingår i: Basic & Clinical Pharmacology & Toxicology. - Copenhagen : Blackwell Publishing. - 1742-7835 .- 1742-7843. ; 108:4, s. 224-233

Relaterad länk:: https://onlinelibrar...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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The aim was to present and evaluate the impact of a comprehensive strategy over 10 years to select, communicate and achieve adherence to essential drug recommendations (EDR) in ambulatory care in a metropolitan healthcare region. EDRs were issued and launched as a 'Wise List' by the regional Drug and Therapeutics Committee in Stockholm. This study presents the concept by: (i) documenting the process for selecting, communicating and monitoring the impact of the 'Wise List'; (ii) analysing the variation in the number of drug substances recommended between 2000 and 2010; (iii) assessing the attitudes to the 'Wise List' among prescribers and the public; (iv) evaluating the adherence to recommendations between 2003 and 2009. The 'Wise List' consistently contained 200 drug substances for treating common diseases. The drugs were selected based on their efficacy, safety, suitability and cost-effectiveness. The 'Wise List' was known among one-third of a surveyed sample of the public in 2002 after initial marketing campaigns. All surveyed prescribers knew about the concept and 81% found the recommendations trustworthy in 2005. Adherence to recommendations increased from 69% in 1999 to 77% in 2009. In primary care, adherence increased from 83% to 87% from 2003 to 2009. The coefficient of variation (CV%) decreased from 6.1% to 3.8% for 156 healthcare centres between these years. The acceptance of the 'Wise List' in terms of trust among physicians and among the public and increased adherence may be explained by clear criteria for drug recommendations, a comprehensive communication strategy, electronic access to recommendations, continuous medical education and involvement of professional networks and patients.

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The 'wise list'- a comprehensive concept to select, communicate and achieve adherence to recommendations of essential drugs in ambulatory care in Stockholm

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