Antibiotikabehandling af infektioner i almen praksis. Effekten af audit bedømt ved ordinationsdata fra Sygesikringens register og laegernes selvregistrering
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Antibiotikabehandling af infektioner i almen praksis. Effekten af audit bedømt ved ordinationsdata fra Sygesikringens register og laegernes selvregistrering. / Damsgaard, J J; Schaefer, K; Michelsen, J W; Frimodt-Møller, N; Munck, A P; Vach, K; Kragstrup, J.
I: Ugeskrift for Laeger, Bind 163, Nr. 2, 08.01.2001, s. 165-8.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Antibiotikabehandling af infektioner i almen praksis. Effekten af audit bedømt ved ordinationsdata fra Sygesikringens register og laegernes selvregistrering
AU - Damsgaard, J J
AU - Schaefer, K
AU - Michelsen, J W
AU - Frimodt-Møller, N
AU - Munck, A P
AU - Vach, K
AU - Kragstrup, J
PY - 2001/1/8
Y1 - 2001/1/8
N2 - The aim was to study whether an audit of treatment of infections in general practice resulted in changed prescribing habits. In 1995-1996 forty-six general practitioners (GP's) from the County of Roskilde participated in an audit regarding infectious diseases (incl. course participation and preparation of treatment guidelines). The effect evaluation was done on the basis of 1) two self-registrations of antibiotic prescriptions carried out with one year's interval, and 2) prescribing data from the National Insurance database collected over two periods, before the first and second self-registration respectively. The number of patients not receiving antibiotics increased significantly from 47.2% to 52.4% after intervention. The self-registration did not show any change in choice of antibiotics, while the registry data showed a shift from broad-spectrum to narrow-spectrum penicillin. This change was, however, also found among the GP's, who did not participate in the audit. The study demonstrated that audit can result in changes in prescribing patterns, but at the same time emphasizes the need for inclusion of external data sources and control groups in the evaluation of intervention effects.
AB - The aim was to study whether an audit of treatment of infections in general practice resulted in changed prescribing habits. In 1995-1996 forty-six general practitioners (GP's) from the County of Roskilde participated in an audit regarding infectious diseases (incl. course participation and preparation of treatment guidelines). The effect evaluation was done on the basis of 1) two self-registrations of antibiotic prescriptions carried out with one year's interval, and 2) prescribing data from the National Insurance database collected over two periods, before the first and second self-registration respectively. The number of patients not receiving antibiotics increased significantly from 47.2% to 52.4% after intervention. The self-registration did not show any change in choice of antibiotics, while the registry data showed a shift from broad-spectrum to narrow-spectrum penicillin. This change was, however, also found among the GP's, who did not participate in the audit. The study demonstrated that audit can result in changes in prescribing patterns, but at the same time emphasizes the need for inclusion of external data sources and control groups in the evaluation of intervention effects.
KW - Adult
KW - Anti-Bacterial Agents/administration & dosage
KW - Bacterial Infections/drug therapy
KW - Databases, Factual
KW - Denmark
KW - Drug Prescriptions
KW - Drug Utilization
KW - Humans
KW - Insurance, Health
KW - Medical Audit
KW - Middle Aged
KW - Practice Guidelines as Topic
KW - Practice Patterns, Physicians'
KW - Registries
M3 - Tidsskriftartikel
C2 - 11379242
VL - 163
SP - 165
EP - 168
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
SN - 0041-5782
IS - 2
ER -
ID: 324191580