Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing
AbstractObjective To investigate the effect of an academic detailing intervention on the utilisation of type 2 diabetes medication among general practitioners.Design We developed an academic detailing campaign based on the revised national treatment guideline for diabetes and the best available evid...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-07-01
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| Series: | Scandinavian Journal of Primary Health Care |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/02813432.2023.2222781 |
| _version_ | 1797729192929918976 |
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| author | Harald Christian Langaas Øyvind Salvesen Roar Dyrkorn Hege Salvesen Blix Olav Spigset |
| author_facet | Harald Christian Langaas Øyvind Salvesen Roar Dyrkorn Hege Salvesen Blix Olav Spigset |
| author_sort | Harald Christian Langaas |
| collection | DOAJ |
| description | AbstractObjective To investigate the effect of an academic detailing intervention on the utilisation of type 2 diabetes medication among general practitioners.Design We developed an academic detailing campaign based on the revised national treatment guideline for diabetes and the best available evidence. General practitioners were offered a 20-minute one-to-one visit by a trained academic detailer.Setting and subjects A total of 371 general practitioners received a visit and represented the intervention group. The control group consisted of 1282 general practitioners not receiving a visit.Main outcome measures Changes in prescribing from 12 months before to 12 months after the intervention. The primary endpoint was a change in metformin. Secondary endpoints were changes in other groups of Type 2 diabetes medication and of these drugs in total.Results Prescribing of metformin increased by 7.4% in the intervention group and 5.2% in the control group (p = .043). Sodium-glucose cotransporter-2 inhibitors increased by 27.6% in the intervention group and 33.8% in the control group (p = .019). For sulfonylureas there was a decrease of 3.6% in the intervention group vs. 8.9% in the control group (p = .026). The total amount of prescribed medications for type 2 diabetes increased by 9.1% in the intervention group and 7.3% in the control group (p = .08).Conclusion Academic detailing initiated a small but statistically significant increase in the prescription of metformin. For a complex subject like type 2 diabetes, we recommend reserving more time in the visit than the 20 min our campaign aimed for. |
| first_indexed | 2024-03-12T11:25:29Z |
| format | Article |
| id | doaj.art-cab5e9db06a2406c9d2f3d79ec91b11e |
| institution | Directory Open Access Journal |
| issn | 0281-3432 1502-7724 |
| language | English |
| last_indexed | 2024-03-12T11:25:29Z |
| publishDate | 2023-07-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Scandinavian Journal of Primary Health Care |
| spelling | doaj.art-cab5e9db06a2406c9d2f3d79ec91b11e2023-09-01T09:47:49ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242023-07-0141322423110.1080/02813432.2023.2222781Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribingHarald Christian Langaas0Øyvind Salvesen1Roar Dyrkorn2Hege Salvesen Blix3Olav Spigset4KUPP – The Norwegian Academic Detailing Program, Department of Clinical Pharmacology, St. Olav University Hospital, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayKUPP – The Norwegian Academic Detailing Program, Department of Clinical Pharmacology, St. Olav University Hospital, Trondheim, NorwayDepartment of Drug Statistics, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayAbstractObjective To investigate the effect of an academic detailing intervention on the utilisation of type 2 diabetes medication among general practitioners.Design We developed an academic detailing campaign based on the revised national treatment guideline for diabetes and the best available evidence. General practitioners were offered a 20-minute one-to-one visit by a trained academic detailer.Setting and subjects A total of 371 general practitioners received a visit and represented the intervention group. The control group consisted of 1282 general practitioners not receiving a visit.Main outcome measures Changes in prescribing from 12 months before to 12 months after the intervention. The primary endpoint was a change in metformin. Secondary endpoints were changes in other groups of Type 2 diabetes medication and of these drugs in total.Results Prescribing of metformin increased by 7.4% in the intervention group and 5.2% in the control group (p = .043). Sodium-glucose cotransporter-2 inhibitors increased by 27.6% in the intervention group and 33.8% in the control group (p = .019). For sulfonylureas there was a decrease of 3.6% in the intervention group vs. 8.9% in the control group (p = .026). The total amount of prescribed medications for type 2 diabetes increased by 9.1% in the intervention group and 7.3% in the control group (p = .08).Conclusion Academic detailing initiated a small but statistically significant increase in the prescription of metformin. For a complex subject like type 2 diabetes, we recommend reserving more time in the visit than the 20 min our campaign aimed for.https://www.tandfonline.com/doi/10.1080/02813432.2023.2222781Primary caretype 2 diabetesantidiabetic drugsphysician prescribing patterncontinuing medical educationeducational outreach |
| spellingShingle | Harald Christian Langaas Øyvind Salvesen Roar Dyrkorn Hege Salvesen Blix Olav Spigset Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing Scandinavian Journal of Primary Health Care Primary care type 2 diabetes antidiabetic drugs physician prescribing pattern continuing medical education educational outreach |
| title | Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing |
| title_full | Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing |
| title_fullStr | Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing |
| title_full_unstemmed | Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing |
| title_short | Academic detailing as a method to improve general practitioners’ drug prescribing in type 2 diabetes: evaluation of changes in prescribing |
| title_sort | academic detailing as a method to improve general practitioners drug prescribing in type 2 diabetes evaluation of changes in prescribing |
| topic | Primary care type 2 diabetes antidiabetic drugs physician prescribing pattern continuing medical education educational outreach |
| url | https://www.tandfonline.com/doi/10.1080/02813432.2023.2222781 |
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