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báo cáo khoa học: " Is untargeted educational outreach visiting delivered by pharmaceutical advisers effective in primary care? A pragmatic randomized controlled trial"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Is untargeted educational outreach visiting delivered by pharmaceutical advisers effective in primary care? A pragmatic randomized controlled trial | Implementation Science BioMed Central Research article Is untargeted educational outreach visiting delivered by pharmaceutical advisers effective in primary care A pragmatic randomized controlled trial Martin P Eccles Ian N Steen Paula M Whitty and Lesley Hall Open Access Address Institute of Health and Society Newcastle University 21 Claremont Place Newcastle upon Tyne NE2 4AA UK Email Martin P Eccles - martin.eccles@ncl.ac.uk Ian N Steen - nick.steen@ncl.ac.uk Paula M Whitty - p.m.whitty@ncl.ac.uk Lesley Hall - lesley.hall@ncl.ac.uk Corresponding author Published 26 July 2007 Received 17 August 2006 Implementation Science 2007 2 23 doi 10.1186 1748-5908-2-23 Accepted 26 July 2007 This article is available from http www.implementationscience.cOm content 2 1 23 2007 Eccles et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Background There is increasing evidence that clinical guidelines can lead to improvements in clinical care. However they are not self-implementing. While educational outreach visits may improve prescribing behaviour the effectiveness of routine delivery of these visits by existing pharmaceutical advisers is unknown. Methods Within a pragmatic randomized controlled trial involving all general practices in two primary care trusts PCTs routine methods were used to distribute guidelines for the choice of antidepressants for the management of depression. Intervention practices were offered two visits most accepted only one by their PCT pharmaceutical adviser who had been trained in the techniques of outreach visiting. Intervention practices were visited regardless of whether they had prior problems with .