Help to follow guidelines does not change practice
Supplying tailored interventions to encourage general practitioners to
follow guidelines for urinary tract infection in women or sore throat
have little effect on practice. In a study by Flottorp and colleagues
(p 367), 142 practices were randomised to receive interventions that
included computer based decision support and reminders, an increase in
the fee for telephone consultations, and interactive courses for
general practitioners and practice assistants. Antibiotic prescribing
for sore throat decreased by only 3% and use of tests for urinary
tract infection by only 5%.
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- Cluster randomised controlled trial of tailored interventions to improve the management of urinary tract infections in women and sore throat
- Signe Flottorp, Andrew D Oxman, Kari Håvelsrud, Shaun Treweek, and Jeph Herrin
BMJ 2002 325: 367.[Abstract] [Full Text] [PDF]
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