Effect of outreach visits on the prescribing of non-steroid anti-inflammatory drugs in general practice: A randomised controlled trial in southern Denmark
(English)Manuscript (preprint) (Other academic)
Aims: To study the effects of outreach visits and a simple desk guide on the prescribing in general practice of non-steroid anti-inflammatory drugs (ATC code M01A), and its subgroups acetic acid derivatives (ATC code M01AB), oxicames (M01AC), propionic acid derivatives (M01AE), coxibes (M01AH), and other non-steroid anti-inflammatory drugs (M01AX), all expected to decrease.
Study population: 88 out of 94 general practices in the former Storstrøm County, accepting participation, were randomly allocated to an intervention or a control area.
Method: The year 1999 was used as a run-in-period, the year 2000 as an intervention period. All participating practices had an outreach visit during the run-in period, in the intervention area focussed on non-steroid anti-inflammatory drugs. Data on practice characteristics and on prescribing level for the six drug groups was obtained from the County Health Insurance database. Multiple linear regression analysis was used to evaluate differences in prescribing trends across the study period.
Results: After adjustments for differences in initial prescribing levels between the practices in the intervention and the control area no significant differences between the areas in prescribing volume of all non-steroid anti-inflammatory drugs. Neither were any significant differences seen for any of the non-steroid anti-inflammatory drug subgroups.
Conclusions: Contrary to expectations outreach visits and a simple desk guide did not seem to influence the prescribing of non-steroid anti-inflammatory drugs.
outreach visits, prescribing, NSAID, general practice, RCT
Research subject Family Medicine
IdentifiersURN: urn:nbn:se:uu:diva-192314OAI: oai:DiVA.org:uu-192314DiVA: diva2:589376