Evaluation of Academic Detailing within a Coordinated Care Trial.

McDonald, P. K., Winkle, C. A. and Askew, D. (2003) Evaluation of Academic Detailing within a Coordinated Care Trial.. Journal of Pharmacy Practice and Research, 33 2: 114-116.

Author McDonald, P. K.
Winkle, C. A.
Askew, D.
Title Evaluation of Academic Detailing within a Coordinated Care Trial.
Journal name Journal of Pharmacy Practice and Research   Check publisher's open access policy
ISSN 1445-937X
Publication date 2003-06-01
Year available 2003
Sub-type Article (original research)
Volume 33
Issue 2
Start page 114
End page 116
Total pages 3
Editor Jo-anne E Brien
Place of publication Prahran, Vic.
Publisher The Society of Hospital Pharmacists of Australia
Language eng
Subject 111717 Primary Health Care
Abstract Background: Academic detailing has been identified as an intervention that modifies health professionals' practice, particularly prescribing. Aim: To assess the impact of academic detailing on general practitioners' (GPs) prescribing for heart failure and chronic pain associated with osteoarthritis in an elderly population. Method: This was a quasi-experimental study embedded within a coordinated care trial, with a 12 month follow up. 115/120 (96%) of GPs invited to participate received academic detailing visits by experienced teaching- hospital clinical pharmacists between July 1998 and July 1999. The pharmacological management of two conditions was addressed: heart failure in Phase 1, and chronic pain associated with osteoarthritis in Phase 2. Data from the Pharmaceutical Benefits Scheme (PBS) were analysed for changes in prescribing. The perceptions of the GP and pharmacist were also assessed. Results: Consistent with key messages, non-steroidal anti-inflammatory drug (NSAID) use decreased in Phase 1, and in Phase 2 long-acting NSAID use decreased and low-dose tricyclic antidepressant use increased. Inconsistent with key messages of Phase 1, angiotensin converting enzyme inhibitor prescribing for heart failure did not change. GPs and pharmacists were highly satisfied with the project. Conclusion: Academic detailing visits to GPs were partly successful in changing prescribing practices for heart failure and pain management of osteoarthritis. Initiatives such as this may strengthen professional links between pharmacists and GPs and benefit patients through enhanced quality use of medicines.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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Created: Wed, 25 Mar 2009, 20:01:13 EST by Mary-Anne Marrington on behalf of School of Medicine