Reducing Use of Injections Through Interactional Group Discussions: A Randomized Controlled Trial
Reducing Use of Injections Through Interactional Group Discussions: A Randomized Controlled Trial
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DOI：
10.1007/s13312-010-0076-4
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发表时间：
2010-05-01
影响因子：
2.3
通讯作者：
Murhekar, M.
中科院分区：
文献类型：
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作者：
Bhunia, R.;Hutin, V.;Murhekar, M.
目的：探讨“互动小组讨论”能否减少医生的注射处方。研究设计：随机对照试验。地点：印度西孟加拉邦北24Parganas区的农村公共卫生机构。研究对象：72名医务人员，干预组和对照组各36名。干预：互动小组讨论。结果：包括至少一次注射的处方比例。结果：在干预组，1080张处方中有249张(23%)至少包括一次注射，而干预前后1080张处方中有79张(7%)至少包括一次注射。(RR：0.32，95%CI：0.25~0.40)。对照组1,080张处方中有231张。(21%)在干预前至少注射一次，而干预后1080张处方中有178张(16%)(相对危险度0.77，95%可信区间：0.65~0.92)。
Objective: To determine whether "interactional group discussions" could reduce prescriptions of injections by physicians.Study design: Randomized controlled trial.Setting: Rural public health care facilities, North 24 Parganas district, West Bengal, India.Subjects: 72 medical officers, 36 each in intervention and control groups.Intervention: Interactional group discussions.Outcome measure: Proportion of prescriptions including at least one injection.Results: In the intervention group, 249 of 1,080 prescriptions (23%) included at least one injection compared with 79 of 1,080 prescriptions (7%) before and after the intervention, respectively. (RR: 0.32, 95% CI: 0.25-0.40). In the control group, 231 of 1,080 prescriptions. (21%) included at least one injection before the intervention vs 178 of 1,080 prescriptions (16%) after the intervention (RR 0.77, 95% CI: 0.65-0.92).Conclusion: Interactional group discussions reduce prescription of injections.