Cough medicine prescriptions for children were significantly reduced by a systematic intervention that reinforced national recommendations.
Cough medicine prescriptions for children were significantly reduced by a systematic intervention that reinforced national recommendations.
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DOI：
10.1111/apa.16284
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发表时间：
2022-06
期刊：
影响因子：
3.8
通讯作者：
Csonka, Peter
中科院分区：
文献类型：
--
作者：
Palmu, Sauli;Heikkila, Paula;Kivisto, Juho E.;Poutanen, Roope;Korppi, Matti;Renko, Marjo;Csonka, Peter
咳嗽是儿童时期去看医生的最常见原因之一。它们扰乱睡眠，令人不舒服，并引起孩子和父母的焦虑。人们普遍认为，不应为儿童开或推荐咳嗽药。我们之前发表了2014年芬兰儿童下呼吸道感染（LRTI）当前护理指南发布前后的咳嗽药处方数据。这些指南建议不要给儿童开咳嗽药。数据收集自三家公立和两家私立门诊诊所。其中包括153张咳嗽药处方，在2012年11月和2013年12月以及2014年和2015年的1661次儿童LRTI 1就诊期间开具。这表明该指南对咳嗽药处方没有直接影响。1然后，我们设计了一种系统性干预措施，以减少咳嗽药的处方，下文将对此进行更详细的描述。它大大减少了芬兰最大的私人医疗保健服务公司Terveystalo在2017-2020年开出的咳嗽药处方，该公司每年接待26万人次的儿科就诊。2本研究建立在这些研究的基础上，1，2通过评估Terveystalo经营的两家私人门诊诊所从2014年1月1日至2020年12月31日向0-15岁儿童开具的LRTI咳嗽药处方。这些位于芬兰西南部坦佩雷和东南部库沃拉的诊所也参与了先前的研究。1，2这使我们能够评估2014年指南1的影响，以及2017-2020年的积极干预是否为消除咳嗽药处方提供了更大的动力，特别是对于患有LRTI的儿童。Terveystalo的电子健康记录系统使我们能够根据特定医生的实时数据进行随访研究。2017-2020年的干预措施旨在通过向医生和护理人员发送教育材料来消除儿童咳嗽药处方。这些都是基于芬兰的指导方针，不建议儿童服用咳嗽药。一般提醒被发送给开过咳嗽药的医生，如果他们继续开处方，他们会收到个性化的信件，然后打电话。
Coughs are one of the most frequent reasons for visiting a physician during childhood. They disrupt sleep, are uncomfortable and cause anxiety for both children and their parents. It is widely accepted that cough medicines should not be prescribed, or recommended, for children. We previously published data on cough medicine prescriptions before and after the 2014 Finnish Current Care Guidelines on children's lower respiratory tract infections (LRTIs) were published. These guidelines advice not to prescribe cough medicines to children. The data were collected from three public and two private outpatient clinics. They comprised 153 prescriptions for cough medicines, issued during 1661 visits for children's LRTIs 1 in November and December 2012 and 2013 and the same months in 2014 and 2015. This showed that the guidelines had no immediate impact on cough medicine prescriptions. 1 We then designed a systematic intervention to reduce prescriptions for cough medicines, which is described in more detail below. It significantly reduced cough medicine prescriptions issued in 2017–2020 by Terveystalo, the largest private health care service company in Finland, which receives 260,000 paediatric visits per year. 2 This study built on those studies, 1, 2 by evaluating cough medicine prescriptions with LRTIs issued to children aged 0–15 years by two private outpatient clinics run by Terveystalo from 1 January 2014 to 31 December 2020. These clinics, in Tampere in South-West Finland and Kouvola in South-East Finland, also took part in the previous studies. 1, 2 This enabled us to evaluate the impact of the 2014 guidelines 1 and whether the active intervention in 2017–2020 2 provided greater momentum for eradicating cough medicine prescriptions especially for children with LRTIs.Terveystalo's electronic health record system enabled us to carry out a follow-up study based on real-time data about specific physicians. The 2017–2020 intervention aimed to eradicate cough medicine prescriptions for children, by sending educational material to physicians and caregivers. These were based on the Finnish guidelines, which do not recommend cough medicines for children. General reminders were sent to physicians who had prescribed cough medicines and they were sent personalised letters, followed up by phone calls, if they continued prescribing.
影响因子：
3.6
作者：
Csonka P;Heikkilä P;Koskela S;Palmu S;Lajunen N;Riihijärvi S;Huhtala H;Korppi M
通讯作者：
Korppi M
影响因子：
1.6
作者：
Diaz, Maria Carmen G.;Handy, Lori K.;Werk, Lloyd N.
通讯作者：
Werk, Lloyd N.