A pilot study evaluating alternative approaches of academic detailing in rural family practice clinics.
BMC Fam Pract
; 13: 129, 2012 Dec 31.
Article
en En
| MEDLINE
| ID: mdl-23276303
ABSTRACT
BACKGROUND:
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.METHODS:
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.RESULTS:
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.CONCLUSIONS:
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.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Servicios de Salud Rural
/
Educación a Distancia
/
Educación Médica Continua
/
Medicina Familiar y Comunitaria
/
Prescripción Inadecuada
Tipo de estudio:
Qualitative_research
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
BMC Fam Pract
Año:
2012
Tipo del documento:
Article
País de afiliación:
Estados Unidos