tailieunhanh - báo cáo khoa học: " Rational Prescribing in Primary care (RaPP): process evaluation of an intervention to improve prescribing of antihypertensive and cholesterol-lowering drugs"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Rational Prescribing in Primary care (RaPP): process evaluation of an intervention to improve prescribing of antihypertensive and cholesterol-lowering drugs | Implementation Science BioMed Central Research article Open Access Rational Prescribing in Primary care RaPP process evaluation of an intervention to improve prescribing of antihypertensive and cholesterol-lowering drugs Atle Fretheim Kari Hâvelsrud and Andrew D Oxman Address Norwegian Knowledge Centre for the Health Services PB 7004 St. Olavs plass N-0130 Oslo Norway Email Atle Fretheim - Kari Hâvelsrud - kha@ Andrew D Oxman - oxman@ Corresponding author Published 25 August 2006 Received 16 May 2006 Implementation Science 2006 1 19 doi l748-5908-l-l9 Accepted 25 August 2006 This article is available from http content l l l9 2006 Fretheim et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background A randomised trial of a multifaceted intervention for improving adherence to clinical practice guidelines for the pharmacological management of hypertension and hypercholesterolemia increased prescribing of thiazides butdetected no impact onthe use of cardiovascular risk assessment toolsor achievement of treatment targets. We carried out a predominantly quantitative process evaluation to help explain and interpret the trial-findings. Methods Several data-sources were used including questionnaires completed by pharmacists immediately after educational outreach visits semi-structured interviews with physicians subjected to the intervention and data extracted from their electronic medical records. Multivariate regression analyses were conducted to explore the association between possible explanatory variables and the observed variation across practices for the three main outcomes. Results The attendance rate during the educational sessions in .