A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics.
A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics.
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DOI：
10.1186/1471-2296-13-129
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发表时间：
2012-12-31
影响因子：
2.9
通讯作者：
Fagnan LJ
中科院分区：
文献类型：
--
作者：
Hartung DM;Hamer A;Middleton L;Haxby D;Fagnan LJ
学术细节是一种交互式、方便和用户友好的方法，为医疗保健临床医生提供非商业性教育。虽然有证据表明，学术细节与处方行为的改善有关，但在不同环境下的概括性和可扩展性存在不确定性。我们的研究评估了在农村家庭医疗环境中提供学术细节的不同模式。我们进行了一项试点项目，以评估面对面提供学术细节的可行性、有效性和满意度，并与使用远程学习技术的改进方法进行比较。接受者是俄勒冈州农村实践研究网络(ORPRN)内的四家家庭医学诊所。两个诊所被分配接受面对面的详细介绍，两个诊所通过视频会议或基于网络的非同步外联接受外联。使用中点和完成期调查来评估有效性和满意度。在八个月期间，每个诊所都接受了四次外展访问。主题包括难治性抑郁症，非典型抗精神病药物的管理，治疗失眠的药物，以及苯二氮卓类药物的缩减。总体而言，90%的参与临床医生对该计划感到满意。接受面对面详述的受访者报告称，在七个内容领域中的五个方面，与距离详述组的受访者相比，他们改变行为的可能性更高。虽然90%-100%的受访者表示，如果该计划继续下去，他们将继续参与，但如果只提供远程方法，参与的可能性会下降。我们在参与的临床医生中发现了对该计划的强烈支持和满意。参与者倾向于以面对面的方式进行远程互动。未来的努力将针对在农村家庭实践环境中评估细节的经济和临床效果的量化方法。
Academic detailing is an interactive, convenient, and user-friendly approach to delivering non-commercial education to healthcare clinicians. While evidence suggests academic detailing is associated with improvements in prescribing behavior, uncertainty exists about generalizability and scalability in diverse settings. Our study evaluates different models of delivering academic detailing in a rural family medicine setting. We conducted a pilot project to assess the feasibility, effectiveness, and satisfaction with academic detailing delivered face-to-face as compared to a modified approach using distance-learning technology. The recipients were four family medicine clinics within the Oregon Rural Practice-based Research Network (ORPRN). Two clinics were allocated to receive face-to-face detailing and two received outreach through video conferencing or asynchronous web-based outreach. Surveys at midpoint and completion were used to assess effectiveness and satisfaction. Each clinic received four outreach visits over an eight month period. Topics included treatment-resistant depression, management of atypical antipsychotics, drugs for insomnia, and benzodiazepine tapering. Overall, 90% of participating clinicians were satisfied with the program. Respondents who received in person detailing reported a higher likelihood of changing their behavior compared to respondents in the distance detailing group for five of seven content areas. While 90%-100% of respondents indicated they would continue to participate if the program were continued, the likelihood of participation declined if only distance approaches were offered. We found strong support and satisfaction for the program among participating clinicians. Participants favored in-person approaches to distance interactions. Future efforts will be directed at quantitative methods for evaluating the economic and clinical effectiveness of detailing in rural family practice settings.
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影响因子：
158.5
作者：
AVORN, J;SOUMERAI, SB;FIELDS, D
通讯作者：
FIELDS, D
影响因子：
158.5
作者：
Campbell, Eric G.;Gruen, Russell L.;Blumenthal, David
通讯作者：
Blumenthal, David
影响因子：
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作者：
van Eijk, MEC;Avorn, J;de Boer, A
通讯作者：
de Boer, A
影响因子：
158.5
作者：
AVORN, J;SOUMERAI, SB
通讯作者：
SOUMERAI, SB
影响因子：
120.7
作者：
SOUMERAI, SB;AVORN, J
通讯作者：
AVORN, J